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Avelis Health

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

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.
Active Founders
Angel Onuoha
Angel Onuoha
Founder
Angel is a 3x founder, Harvard alum, and previous PM @ Google. He is currently building AI agents to audit medical claims for self-insured employers.
Ahmad Shehu
Ahmad Shehu
Founder
Cofounder and CTO @ Avelis Ahmad is a product-minded engineer running on curiosity, and a questionable number of browser tabs. He is a firm believer that small fixes can lead to big changes.
Company Launches
Avelis Health โš”๏ธ Preventing overpayments on medical claims
See original launch post

TL;DR: We build AI agents to audit medical claims and identify errors due to coding, billing, and contract violations. Our voice agents automate the process of requesting medical records and recovering overpaid claims from providers.

https://youtu.be/gL5IFvnwf6g

The Problem

  • Self-insured employers and health plans lose $100B+ annually to overpayments on medical claims
  • Legacy audit systems only sample high-dollar claims, missing systematic errors
  • Patients pay the price with higher premiums, reduced coverage, and larger out-of-pocket expenses

The Solution

  • Machine Learning: Our models review 100% of claims to identify errors and patterns over time
  • Voice AI: We automate the process of medical record retrieval with voice agents
  • Clinical validation with LLMs: Our AI agents review medical records to validate what was actually billed
  • Prevention & Recovery: We integrate into existing claim systems to prevent wrongful payments and recover funds already lost

Why we're building this
Over the past 9 years, Angel had three knee surgeries and fought down $250k in inflated hospital bills. We first built a consumer tool that saved $300k for 60 patients in a few months. Then we realized the bigger impact comes from fixing the problem at its source, before the bill ever reaches the patient.

Backgrounds:

Angel studied CS/Econ at Harvard and is a 3x founder. He scaled his first company to 60+ enterprise partnerships with financial institutions (Goldman Sachs, JPMorgan, Bank of America). In 2021, he and Ahmad founded Zuvy, a fintech company based in Nigeria, which was acquired by a PE firm in 2025. Earlier, Ahmad built healthcare data platforms for the Nigerian government, serving 20M+ people.

Get a risk-free claims audit at avelishealth.com.

YC Photos
Jobs at Avelis Health
San Francisco, CA, US / Remote
$150K - $200K
1.00% - 3.00%
3+ years
Avelis Health
Founded:2025
Batch:Summer 2025
Team Size:2
Status:
Active
Primary Partner:Jon Xu