๐๐ก๐ฒ ๐ฐ๐ ๐๐ฎ๐ข๐ฅ๐ญ ๐ญ๐ก๐ข๐ฌ:
I (Angel) have had three knee surgeries since my mid-teens and was billed more than $250K for care that should have cost a fraction of that. Fighting those inflated charges was so painful that we set out to build a consumer-facing AI agent to do it for others. In less than five months, we helped sixty patients erase or reduce over $300K from their medical bills.
This inspired us to fix the problem farther upstream: stopping bad payments before the patient ever sees a bill. So we launched payment integrity, machine-learning models that audit every medical claim for self-insured employers and health plans in real time.
๐๐ก๐ ๐๐ซ๐จ๐๐ฅ๐๐ฆ:
โข Self-insured employers waste $60 B+ each year on claims that never should have been paid. Healthcare is the 2nd largest company expense after payroll.
โข Manual audits are slow and partial: Reviewers focus only on high-dollar claims, letting millions more slip through unnoticed.
โขย Existing audit software is static: Decades-old rule engines canโt keep pace with evolving codes, contracts, or billing tactics.
โข Incentives are misaligned: Third-party administrators are paid to process claims, not to police them, so accuracy checks are minimal.
๐๐ฎ๐ซ ๐๐จ๐ฅ๐ฎ๐ญ๐ข๐จ๐ง:
Our models audit medical claims before and after payments have been issued. We catch nuanced billing, coding, and contract errors to save 3-7% on annual claims spend. We work with self-insured employers and health plans.
๐๐๐จ๐ฎ๐ญ ๐๐ฌ:
Angel Onuoha (CEO) and Ahmad Shehu (CTO) have worked together for 4 years. Before Avelis Health they built Zuvy, a Lagos-based fintech company that provided invoice factoring to small businesses. Zuvy was acquired by The BAS Group in 2025.
