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May 23, 2024/Innovations

Avaneer Health Announces the Launch of its Coverage Direct Solution in Partnership with Cleveland Clinic

The initial product launch reveals significant financial benefits for payers and providers.

illustration of data

Avaneer Health, a Cleveland Clinic Innovations portfolio company, has launched Avaneer Coverage Direct™, a platform that delivers real-time health insurance coverage information to payers and providers. This aims to reduce operational costs, enhance the patient experience, and streamline claims management. The platform offers proactive updates on active, inactive, and upcoming coverage, facilitating timely reimbursement and minimizing administrative complexities.

Cleveland Clinic, as the inaugural participant in the Avaneer Coverage Direct provider pilot, is innovating efforts to guarantee the availability of precise coverage information in advance, aiming to eliminate care delays and inaccuracies in patient financial responsibility.

"We've been working with Avaneer Health since inception to improve the patient and caregiver experience. Through a near real-time data exchange, the expectation is to see fewer discrepancies between what services are covered by the payer and what providers offer to the patient, resulting in a decrease in administrative overhead costs for both payers and providers. We are excited to see the transformative impact on reducing the administrative burden and enhancing the patient experience," says Dennis Laraway, Chief Financial Officer at Cleveland Clinic. "The initiative aligns with our goal to provide the highest level of patient experience while also improving overall financial performance and efficiency."

Avaneer Coverage Direct is designed to reduce costs and complexities in healthcare by providing accurate and proactive coverage information to both payers and providers. The platform has the potential to deliver significant cost savings for both payers and providers, with savings of $3.35 to $5.75 per claim for providers and up to $1.65 per claim for payers. Additionally, with a single connection to the Avaneer Network™, data exchange and discovery is made solely between designated trading partners on the Avaneer Network, ensuring data security and control.

Read the full press release via PRNewswire.

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