# Avandé

> Avandé (also written Avande) is a physician-led healthcare cost management company. Board-certified, specialty-matched physicians review prior authorizations, claims and utilization for the organizations that pay for care: health plans and TPAs, self-funded employers, stop-loss carriers and reinsurers, providers and ACOs, and legal and compliance teams. Based in Wilmington, DE, USA.

Physicians make every clinical determination; the platform prepares the evidence and keeps the audit trail, and never replaces clinical judgment. Avandé adds a clinical review layer to existing cost containment vendors rather than replacing them.

Key facts: 30+ years of results and $500M+ in cost savings delivered; 46% average savings over and above existing discounts (forensic claims validation); 3 out of 10,000 cases (0.0003%) overturned on appeal; $0 balance billing; 100% of claims scanned daily, at least 0.5% flagged for physician review, 62% of flagged claims generate measurable savings, with an estimated 40% average savings on flagged claims; physician reviewers across 30+ specialties. SOC 2 Type II and HIPAA compliant, with a BAA for client PHI, AES-256 encryption at rest, TLS 1.2+ in transit, MFA, role-based access and US data residency. HITRUST certification is in progress (not yet certified).

## Services

- [Care Assurance](https://avande.net/what-we-do/care-assurance.md): Avandé’s physician-led prior authorization review. Board-certified, specialty-matched physicians check that requested care is necessary and follows current evidence, before it happens. 0.0003% of decisions overturned on appeal; $0 balance billing.
- [Forensic Claims Validation](https://avande.net/what-we-do/forensic-claims-validation.md): Avandé’s physician-led review of high-cost claims. Physicians and certified coders read the complete medical record to confirm billed care was necessary, documented and supported. 46% average savings over existing discounts. Finds unsupported admissions, DRG miscoding, excessive services, misrepresented findings, inappropriate treatment pathways and fraudulent billing.
- [Clinical Surveillance](https://avande.net/what-we-do/clinical-surveillance.md): Avandé’s continuous claims monitoring. Every claim is scanned daily, outliers are flagged, and physicians review each flag before action. 100% of claims scanned daily; 0.5% selected for deeper review; 62% of selected claims generate savings.
- [Healthcare IT Services](https://avande.net/what-we-do/healthcare-it-services.md): Avandé’s in-house engineering team: custom development, legacy modernization and FHIR and X12 EDI integration for payers, supported 24/7/365.

## Who we serve

- [Health plans & TPAs](https://avande.net/who-we-serve#health-plans): Claims and utilization review that holds up on appeal.
- [Employers](https://avande.net/who-we-serve#employers): Lower self-funded plan costs, same networks.
- [Stop-loss & reinsurance](https://avande.net/who-we-serve#stop-loss): Large-claim review and risk mitigation.
- [Providers & ACOs](https://avande.net/who-we-serve#providers): Clear, fast determinations.
- [Legal & compliance](https://avande.net/who-we-serve#legal): Expert medical record review.

## Company

- [Home](https://avande.net/index.md): Overview of Avandé: services, results, how it works (measure, manage, improve) and why Avandé.
- [Company](https://avande.net/company.md): Who Avandé is, the physician specialties it covers, the Ansera Portal platform, and security and compliance.
- [FAQ](https://avande.net/company#faq): Who makes clinical decisions, how often decisions are overturned, balance billing, HIPAA compliance and how to get started.
- [Contact](https://avande.net/contact.md): Phone 1-833-328-2633; Wilmington, DE. Please do not send protected health information (PHI) through the website.

## Legal

- [Privacy Policy](https://avande.net/privacy.md): How Avandé collects, uses and protects information on avande.net, and why client PHI is handled under each client’s BAA instead.
- [Terms of Service](https://avande.net/terms.md): The terms for using avande.net. Client engagements are governed by separate written agreements; site content is not medical advice.
- [Cookie Policy](https://avande.net/cookies.md): Which cookies avande.net uses (essential and, only with your consent, analytics), and how to change your choice at any time.
- [Accessibility](https://avande.net/accessibility.md): Avandé designs and tests avande.net to meet WCAG 2.2 Level AA. How we do it, known limitations and how to report a problem.

## Optional

- [Full text of the site](https://avande.net/llms-full.txt): every page above as Markdown in one file.
- [Who we serve (full page)](https://avande.net/who-we-serve.md): all five audiences, the services that fit each, and FAQs.
- [Ansera Cloud](https://anseracloud.com): Ansera Cloud is an Avandé company (Ansera Cloud for Salesforce).
- [LinkedIn](https://www.linkedin.com/company/avande): Avandé company page.

Last updated: 2026-10-09