Summer 2025

Avelis Health

We audit medical claims for self-insured employers and health plans.

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What they do

ML audit of medical claims for self-insured employers and health plans

How close to us

2, near

checks only; finds payment leakage (3-7% savings), adjacent to W7

Wedges

  • W7 Find and fix margin leaks adjacent
L1 Company brain (knows the organisation) 0, none
L2 Agent team (runs agents, tools, approvals) 0, none
L3 Does and learns (finishes, checks, measures, updates the brain) 1, light

Who buys

Firm size
mid-market
Buyer type
business
Role
benefits or finance chief
UK
not known
Their own description (from YC)

๐–๐ก๐ฒ ๐ฐ๐ž ๐›๐ฎ๐ข๐ฅ๐ญ ๐ญ๐ก๐ข๐ฌ:
I (Angel) have had three knee surgeries since my mid-teens and was billed more than $250K for care that should have cost a fraction of that. Fighting those inflated charges was so painful that we set out to build a consumer-facing AI agent to do it for others. In less than five months, we helped sixty patients erase or reduce over $300K from their medical bills.

This inspired us to fix the problem farther upstream: stopping bad payments before the patient ever sees a bill. So we launched payment integrity, machine-learning models that audit every medical claim for self-insured employers and health plans in real time.

๐“๐ก๐ž ๐๐ซ๐จ๐›๐ฅ๐ž๐ฆ:
โ€ข Self-insured employers waste $60 B+ each year on claims that never should have been paid. Healthcare is the 2nd largest company expense after payroll.

โ€ข Manual audits are slow and partial: Reviewers focus only on high-dollar claims, letting millions more slip through unnoticed.

โ€ขย Existing audit software is static: Decades-old rule engines canโ€™t keep pace with evolving codes, contracts, or billing tactics.

โ€ข Incentives are misaligned: Third-party administrators are paid to process claims, not to police them, so accuracy checks are minimal.

๐Ž๐ฎ๐ซ ๐’๐จ๐ฅ๐ฎ๐ญ๐ข๐จ๐ง:
Our models audit medical claims before and after payments have been issued. We catch nuanced billing, coding, and contract errors to save 3-7% on annual claims spend. We work with self-insured employers and health plans.

๐€๐›๐จ๐ฎ๐ญ ๐”๐ฌ:
Angel Onuoha (CEO) and Ahmad Shehu (CTO) have worked together for 4 years. Before Avelis Health they built Zuvy, a Lagos-based fintech company that provided invoice factoring to small businesses. Zuvy was acquired by The BAS Group in 2025.

Full teardown

No full teardown yet. On the deep list.

Technical detail
Slug
avelis-health
Lens hash
179096c479
Pass
screen
Stale
no