Audit your medical claims with AI
New York, NY
Joined March 2025
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Welcome to Season 1 of the Avelis Health Podcast, where we’re sharing the perspectives of industry leaders in self-funded healthcare.
On Episode 1, our CEO @angelonuoha7 sat down with Scott Borden, SVP of Partnerships & Marketing at WLT Software Enterprises, Inc. to talk about where AI in healthcare actually works, why incentives still matter more than technology, and what it takes to build trust in an industry flooded with point solutions.
00:00 Introduction and background
• How HSAs and price transparency shaped Scott’s view on incentives
• Why independent TPAs control more of healthcare than they realize
00:41 WLT’s buy vs build strategy
• Choosing partnerships over trying to build everything
• How “implementation purgatory” costs more trust than bad pricing
• Customization beating rigid plan design in the real world
04:04 Primary care and incentives
• Why primary care turned into a transaction instead of a relationship
• How Direct Primary Care cuts downstream costs people fail to measure
06:09 AI in healthcare
• Providers are using AI to increase billing leverage
• Payers need AI defensively or they are guaranteed to overpay
09:02 Member navigation and decision support
• Most employees do not understand how to use their health plan
• Early guidance can stop unnecessary surgeries and escalation
10:01 Point solution fatigue
• Why guaranteed ROI pitches have lost credibility
• Trust still matters more than pitch decks and cold calls
• Reputation compounds slowly and disappears instantly
12:05 Lightning round
• The influence of Scott’s father on leadership and discipline
• Which healthcare middlemen need to be eliminated
Send them the application link and if we hire them, we’ll accept a screenshot as proof
What's the official way to refer? I highly recommend @ihunayachukwu. Been building AI infrastructure on hard mode for the past 3 years.
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Avelis Health retweeted
WE ARE HIRING A FOUNDING ENGINEER @AvelisHealth
Salary: $150,000 - $200,000
Equity: 1-3%
Referral Bonus: I will personally send you $5,000 if we hire your referral
We audit medical claims to prevent wrongful billing and reduce the cost of healthcare. This is the most meaningful work I have ever done in my life. I am looking for engineers who can't sleep at night unless they are doing something impactful.
If any of these sound like you, I want to see your application (link below):
• 3–5 years of experience as a Backend Engineer
• Former failed founder or extensive history of building side projects
• Computer nerd. You're not satisfied with vibe-coded architecture
• Somebody you know was negatively affected by the US healthcare system
We’re live!! 🚀
⚔️@AvelisHealth prevents overpayments on medical claims.
Their AI agents have audited millions in claims and prevented significant overpayments for self-insured employers.
ycombinator.com/launches/OEB…
Congrats on the launch, @angelonuoha7 and @ahmxrd!
Avelis Health retweeted
⚔️@AvelisHealth prevents overpayments on medical claims.
Their AI agents have audited millions in claims and prevented significant overpayments for self-insured employers.
ycombinator.com/launches/OEB…
Congrats on the launch, @angelonuoha7 and @ahmxrd!
We’re extremely excited to announce that we are joining the Summer 2025 Batch @ycombinator
In the past few months, we’ve helped patients save $100s of thousands of dollars and avoid bankruptcy.
Today, we’re launching Payment Integrity, a platform built for employers.
• Catch billing errors before you pay (we audit 100% of claims in real-time)
• Save 8-10% on your annual health plan spend with zero impact to employee benefits
• Track where every health dollar goes with detailed analytics
Employers waste $100s of millions each year paying for erroneous medical claims, and this cost always gets passed down to employees in the form of higher premiums, and worse coverage.
There's no better partner than @ycombinator for tackling such an ambitious mission.
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