What We Do
Physician-led medical management solutions that reduce costs, improve outcomes, and deliver measurable ROI
Avande provides comprehensive medical management solutions combining board-certified physician expertise with purpose-built technology. From prior authorization to forensic claims review, claims surveillance to healthcare IT services, we deliver measurable results across the entire healthcare cost management spectrum.
Prior Authorization Management
Physician-led prior authorization review reduces inappropriate procedures by 30-40% with 24-48 hour turnaround. Board-certified specialists across 30+ specialties deliver defensible medical necessity determinations.
- 30-40% reduction in unnecessary procedures
- 24-48 hour turnaround time (vs 3-5 day industry average)
- 40% fewer appeals vs nurse-only review systems
Forensic Claims Review
Forensic claims analysis and physician-led medical bill review identifies overpayments, billing errors, fraud, and duplicate charges with industry-leading recovery rates and transparent ROI documentation.
- $2-4M average annual recovery (mid-sized health plans)
- 85%+ recovery rate on identified overpayments
- 3:1 to 5:1 ROI on forensic analysis investment
Claims Surveillance
Comprehensive healthcare cost reduction solution for self-funded employers. Achieve 20-35% savings while maintaining employee benefits through physician-led review and transparent cost optimization.
- 20-35% average healthcare cost reduction
- Same provider networks (zero employee disruption)
- Improved employee satisfaction and health outcomes
Healthcare IT Services
Modern claims platforms, prior authorization systems, member portals, and analytics dashboards. Purpose-built healthcare technology with seamless integration, real-time data, and 24/7 support.
- Pre-built EDI/FHIR integrations with major systems
- Real-time analytics dashboards and reporting
- 80% faster implementation vs custom development
Ready to Transform Your Healthcare Cost Management?
Discover how our physician-led solutions deliver measurable cost savings and improved clinical outcomes. Schedule a consultation to explore which solutions best fit your needs. Our team will assess your current challenges, identify opportunities, and provide customized projections based on your specific situation.
