#United States #Tampa #Avalon Healthcare #Lab Insights #APEA Platform

Avalon Healthcare Solutions Achieves Significant Patent for Advanced Lab Claims Review Technology

Avalon Healthcare Solutions is making headlines with its groundbreaking patent, U.S. Patent No. 12,148,534 B1, awarded for its innovative system and method of automated policy enforcement in the realm of lab claims reviews. Recognized as the nation's first Lab Insights company, Avalon has been at the forefront of redefining how laboratory benefit management works since its inception in 2013.

The patented technology, known as the APEA platform, is designed to evaluate lab test claims against the rigorous policies established by health plans. This platform represents a pivotal step towards optimizing diagnostics management and ensuring that patients receive timely care with the appropriate lab tests.

Revolutionizing Diagnostics Management

In today's fast-paced healthcare environment, where accurate and timely diagnostics are vital, Avalon's APEA platform offers an advanced solution for managing lab claims efficiently. The APEA system ensures that every claim is instantly checked against established scientific lab policies, providing real-time coverage determinations. This process eliminates delays and manual reviews, allowing healthcare providers to focus more on patient care rather than administrative tasks.

"This patent validates Avalon's position as an industry leader in speed, accuracy, and innovation," states Bill Kerr, MD, CEO of Avalon Healthcare Solutions. He argues that the capabilities of the APEA platform not only ensure compliance and clinical appropriateness but also deliver valuable data insights aimed at promoting better healthcare outcomes at reduced costs.

Capacity and Efficiency

Operating on a large scale, Avalon's APEA platform processes an impressive 18 million claims each month. It is capable of delivering over one million real-time edits for each client, all while managing the healthcare needs of more than 40 million lives across the country. This exceptional performance significantly reduces administrative challenges, safeguarding healthcare funds while optimizing the quality of care that members receive.

"APEA is a testament to Avalon's tech-focused vision, enhancing operational efficiency by enforcing scientifically validated lab policies instantly," expresses Lynn Mettler, CTO of Avalon Healthcare Solutions. She emphasizes that the APEA platform is designed not to replace healthcare providers, but to empower them in their clinical decision-making, thereby improving patient care.

A Comprehensive Lab Insights Ecosystem

Avalon does not stop at claims processing; it is committed to maximizing the value of diagnostic testing through its Lab Insights ecosystem. The cloud-based, HITRUST-certified infrastructure ensures data security, while AI and machine learning tools such as predictive analytics and natural language processing drive proactive healthcare strategies. This aids health plans in shifting from reactive to more preventive care approaches.

The organization's patented technology also includes an array of applications such as:

• - Policy enforcement and compliance, ensuring adherence to established clinical guidelines.
• - Utilization management, certified by NCQA for genetic testing.
• - Quality evaluation for tests and assessments of new technologies.
• - Facilitating early disease detection and optimization of treatment plans.

Towards a Future of Enhanced Healthcare

By facilitating real-time digitization and analysis of lab results, Avalon is not only enhancing clinical outcomes but also cutting down unnecessary testing provides valuable insights that contribute to smart healthcare spending. Dr. Kerr asserts, "This patent signifies the beginning of our journey to advance diagnostics technology that supports earlier detection, more personalized treatment, and improved healthcare services at scale."

To explore more about Avalon's transformative approach to lab insights, please visit www.avalonhcs.com. This significant patent is a hot topic in the healthcare technology sector, showcasing how innovation can power better diagnostics and boost care quality across the board.

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About Avalon Healthcare Solutions

Avalon Healthcare Solutions is the pioneering Lab Insights company that integrates lab benefit management with scientific analytics. This innovative approach helps health plans offer more cost-effective and proactive care, managing lab benefits for over 40 million lives. Avalon generates considerable savings on outpatient lab expenditures, enhancing the healthcare delivery process for all stakeholders.