Optimize your preventive care billing with AI
Built by a world class team of researchers , engineers and healtcare leaders
AletheiaMD audits every preventive care claim with AI and billing specialists
Catch nuanced billing, coding, and contract errors both pre- and post-pay to maximize reimbursement and reduce waste.
How it works
Our advanced AI and machine learning models identify insurer specific patternsto enable tailored coding with exceptional accuracy
Seemlessly integrates with your existing EHR infrastructure
Share billing data securely without disrupting existing workflows.
Generates recommended codes, delivered to your EHR
AI + billing experts catch errors others miss, across every claim.
Verifies patient eligibility and estimates the likelihood of claim denial for recommended codes
Bring medical evidence into decisions for confident, shareable outcomes.
Automates the claim appeals process for denied claims
Convert findings into recoveries with clear, auditable documentation.
Around 40% of preventive care claims are denied
Roughly 40% of preventive care denials in the U.S. arise from incorrect physician billingatient outcomes year over year. processing errors. When claims are denied, costs are either shifted to patients as unexpected out-of-pocket charges or absorbed by practices as unreimbursed care. This creates a silent source of revenue leakage for health systems and clinics and avoidable costs for patients
Preventive care imposes a substantial annual out-of-pocket burden
These inappropriate out-of-pocket charges impose an estimated annual financial burden of $75 to $219 million for services that should be provided at no cost to patients.
Machine learning models trained for preventive care billing
Our models are purpose-built to address the unique complexity of preventive care billing—unlike general-purpose platforms that rely on static rules—while adapting to patient insurance context and payer requirements.
FREQUENTLY ASKED QUESTION
Everything you need to know
Prevent preventive care claim denials
Eliminate inappropriate out-of-pocket costs for patients. Streamline and accelerate the claims appeals process