Startup Profile: Avelis Health
About Avelis Health
Avelis Health leverages AI to audit medical claims at scale, aiming to eliminate systemic overpayments and billing errors. The company was founded to address inefficiencies in legacy auditing systems and reduce financial burdens on employers, health plans, and patients.
Avelis Logo
Business Focus – What Problem They Solve?
The U.S. healthcare system faces over $100 billion in annual overpayments on medical claims. Traditional audit systems rely on limited sampling and often miss systematic issues, resulting in higher premiums, reduced coverage, and larger out-of-pocket expenses for patients.
Avelis addresses this by:
- Reviewing 100% of claims using machine learning to identify coding, billing, and contractual errors.
- Deploying voice AI agents to automate medical record retrieval and appeals.
- Using LLM-powered clinical validation to confirm billing accuracy against patient records.
- Preventing wrongful payments and recovering overpaid claims.
For self-insured employers and health plans, the solution can deliver 8–10% savings on annual health spend.
Products / Services
- Machine Learning Audit Engine: Reviews every claim to detect anomalies and errors.
- Voice AI for Record Retrieval: Automates provider outreach to gather documentation.
- Clinical Validation with LLMs: Matches clinical records against billing to confirm accuracy.
- Appeals & Recovery Workflow: Provides end-to-end dispute handling with detailed audit logs.
- Real-Time Dashboard: Offers visibility into claim-level recoveries and savings metrics.
Pricing
Avelis follows a performance-based pricing model where clients only pay when savings are realized. Specific pricing tiers are not publicly disclosed.
Market Presence
The company primarily serves self-insured employers and health plans across the United States. It is positioned as a compliance-friendly solution for healthcare payers seeking cost savings and integrity in claims auditing.
Funding & Growth
Avelis Health recently raised $500K in pre-seed funding from Y Combinator to enhance its AI technology and scale adoption among enterprise clients.
Founder & Leadership Team
- Angel Onuoha (Co-Founder): Studied CS and Economics at Harvard. A serial entrepreneur who previously scaled a company to 60+ enterprise partnerships with financial institutions. Co-founded fintech startup Zuvy, which was acquired in 2025.
- Ahmad (Co-Founder): Experienced in building healthcare data platforms for the Nigerian government, serving over 20 million people. Also co-founded Zuvy.
Media & Recognition
Avelis Health has been recognized for its innovative use of AI in healthcare auditing.
Yahoo Finance – Avelis Health, An AI-Powered Company Helping Patients Lower Their Medical Bills
Contact Information
- Website: avelis.ai
Why Avelis Health?
By auditing every medical claim in real time, Avelis ensures employers and health plans save money while patients are protected from inflated medical costs. Its blend of AI, compliance, and clinical validation positions it as a transformative player in healthcare cost management.
Venkat