Healthcare Claims Analysis

When a payer alleges overpayment,
we prove you were right.

Averis analyzes claims data at scale to build the evidence that stands up in audit and appeal, working alongside your attorneys, on your side of the record.

One matter, at a glance Sample
Claim lines in the extract 1,412,908
Lines cited by payer 6,140
Supported on the record 5,918
Demand withdrawn $18.6M
The problem

An allegation is an extrapolation, not a finding.

Payers sample a few dozen claims, find error, and project it across years of billing. The projection is only as sound as the sample. We rebuild the record line by line, the coding, the documentation, the medical necessity, and show where the sample does not carry the conclusion.

Data at full scale

We work from the complete extract, not the payer’s sample: every line, every modifier, every remittance.

Line-level evidence

Each disputed line is traced back to the documentation that supports it, and cited.

Built for counsel

Findings arrive in the form your attorneys file: reproducible, sourced, and defensible under challenge.

1M+
Claim lines reviewed
60 days
To file rebuttal
$100M+
Largest exposure defended
Who we work with

Providers, their counsel, and no one else.

We do not take payer engagements. Health systems, physician groups, and the law firms defending them are the whole of our practice.

Health systems Physician groups Behavioral health Defense counsel Compliance teams

“The extrapolation collapsed once the full population was on the table. Averis put the record in front of us in a form we could file.”

Partner, healthcare regulatory practice
Sample attribution, replace with an approved client quote.

Send us the allegation letter. We will tell you what the data says.

Request an analysis