Provides a multisided healthcare platform that enables real-time data sharing between payers and providers through direct, peer-to-peer connections. This system reduces administrative costs, minimizes claim rework, and improves patient care by ensuring accurate insurance coverage information is instantly available in EHRs before services are rendered.
Funding
$50M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare providers and payers often struggle with inefficient revenue cycle management due to inaccurate or outdated insurance coverage information. This leads to increased administrative costs, claim denials, payment recovery issues, and delays in patient care, ultimately impacting both financial performance and patient satisfaction.
Solution
Avaneer Health provides a secure, peer-to-peer network that directly connects healthcare payers and providers, enabling real-time data sharing and automated revenue cycle processes. The Avaneer Coverage Direct™ solution delivers accurate insurance coverage information by directly connecting payers and providers to accurately update coverage prior to service and claim submission. By eliminating intermediaries and ensuring data is updated at the source, Avaneer Health reduces claim rework, minimizes manual processes, and lowers payment recovery costs. The platform provides a dedicated, private environment for network access, allowing each organization to control which data is shared and with whom, without aggregating or reusing data. This direct connection facilitates collaboration between payers and providers, transforming the healthcare journey for all stakeholders by improving transparency and reducing costs.
Target Audience
Avaneer Health targets healthcare providers (hospitals, health systems) and payers (insurance companies) seeking to streamline revenue cycle management, reduce administrative costs, and improve patient experience through accurate, real-time data exchange.
Features
- Real-time insurance coverage updates directly from payers to providers
- Peer-to-peer network architecture eliminating the need for intermediaries
- Automated determination of missing, conflicting, or incorrect coverage details
- Integration with EHR systems for instant access to coverage information at the point of care
- Dedicated, private environment for secure network access and data sharing
- Customizable data sharing permissions, allowing organizations to control data access
- Compliance with industry security standards to protect sensitive healthcare data