Empower Health Plans to Optimize Risk, Revenue & Compliance
Unlock compliant risk adjustment, reduce denials, and drive sustainable growth with AI designed for payers.
Health plans lose $20B+ annually to coding inaccuracies, compliance audits, and preventable claim denials. Carevyn equips payers with AI-powered automation that strengthens compliance, improves risk adjustment, and accelerates revenue integrity.
Payer FocusedTransforming Payer Operations with AI
Evidence-Backed Risk Adjustment
- ✓95%+ coding compliance with AI-powered audit-ready documentation
- ✓20% higher HCC capture rates
- ✓Millions saved in avoided CMS penalties and clawbacks
RAF Score Accuracy
Reducing Denials & Enhancing Claims Integrity
- ✓25–30% reduction in preventable denials
- ✓15% faster claims resolution
- ✓Improved provider satisfaction through cleaner submissions
Real-Time Prior Authorization & Eligibility
- ✓70% faster authorization approvals
- ✓Automated eligibility checks to reduce backlogs
- ✓Improved member experience with quicker access to care
Supporting Value-Based Reimbursement Models
- ✓20% better alignment of risk scores with member health
- ✓15% increase in reimbursements tied to accurate coding
- ✓10% lower costs through predictive care management insights
Pop. Health Trends
Why Health Plans Choose Carevyn
95%+ Coding Compliance
Audit-ready risk adjustment with AI-powered documentation.
30% Fewer Denials
Reduce leakage and boost revenue with cleaner claims.
70% Faster Prior Auth
Accelerate member care access with real-time automation.
20% Higher HCC Capture
Optimize value-based contracts and risk adjustment.
Secure, Scalable, Trusted
SOC 2 + HIPAA certified, trusted by national payers.
Ready to Optimize Your Health Plan?
Carevyn enables health plans to streamline compliance, maximize reimbursements, and support member care with intelligent automation.