Amera

AI-powered claims automation platform for health insurance payers that standardizes any claim format and automates the full processing workflow.

amerahealthsolutions.com

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About

Amera is a claims automation platform for health insurance payers and TPAs that ingests claims from any format—EDI, PDFs, paper, faxes, and proprietary systems—through a unified pipeline with 99%+ data accuracy. AI-powered routing and editing achieve 85%+ auto-adjudication rates while real-time eligibility verification, provider validation, and duplicate detection run automatically. The platform also automates stop-loss report generation and submission, reducing carrier submission time from weeks to minutes, and provides real-time claim tracking and analytics. Standard implementation is 4–6 weeks; it integrates with existing claims software and carrier portals without a full replacement. Amera is a product of Amera.

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Product details

Product kind
Saas
Free tier
No
Open source
No
webapi
multi-format claims ingestion and standardizationAI-driven claims auto-adjudicationstop-loss report automationreal-time eligibility verificationduplicate claim detectionrevenue leakage detection