# Alaffia Health

> Alaffia Health is a New York-based healthtech company that uses agentic AI paired with expert clinicians to help health insurers detect and stop waste, fraud, and abuse in medical claims. Its Autodor platform forensically reviews complete patient medical records against submitted claims to power payment integrity, utilization management, and appeals workflows - reviewing complex facility claims up to 20x faster than manual processes while keeping humans in the loop for defensible, explainable outcomes.

- **Founded:** 2020
- **Headquarters:** New York, New York, United States
- **Founders:** TJ Ademiluyi (CEO & Co-Founder), Adun Akanni (COO & Co-Founder)
- **Team size:** ~70 employees
- **Products:** Autodor, Ask Autodor, Agentic AI claims engine
- **Notable:** Raised $55M Series B in February 2026, bringing total funding to $73M+, Saved health plans $120M+ in medical costs to date, Named a Major Contender in Everest Group's Pre-payment Integrity Solutions PEAK Matrix Assessment 2026

## Products & services

- **Autodor** — An integrated claim review SaaS platform that lets health plans ingest, review, and process healthcare claims. Used by clinicians and medical coders across payment integrity, utilization management, special investigations, and appeals.
- **Ask Autodor** — A generative AI assistant purpose-built for healthcare payers and cost containment firms that automates large medical record reviews, clinical policy assessment, and claim adjudication - enabling facility claim reviews up to 20x faster.
- **Agentic AI claims engine** — AI agents that read the complete patient medical record, extract structured clinical facts with 97%+ accuracy, and compare charges against the record to flag improper payments, always paired with human clinician review.

## Achievements

- Raised $55M Series B in February 2026, bringing total funding to $73M+
- Saved health plans $120M+ in medical costs to date
- Named a Major Contender in Everest Group's Pre-payment Integrity Solutions PEAK Matrix Assessment 2026
- Delivers 20%+ average savings on high-cost facility claims and 5x+ ROI for leading health plans
- 97%+ accurate clinical fact extraction; reviews up to 20x faster than manual workflows
- HITRUST and HIPAA-aligned security posture

## Latest updates

- **2026-02** — Closed a $55M Series B led by Transformation Capital to expand AI-driven claims operations; total funding surpasses $73M.
- **2026-02** — Recognized by Everest Group as a Major Contender in the Pre-payment Integrity Solutions PEAK Matrix Assessment 2026.
- **2024** — Raised $10M and launched Ask Autodor, a generative AI assistant for healthcare payers.

## Links

- Website: https://www.alaffiahealth.com
- LinkedIn: https://www.linkedin.com/company/alaffia-health
- Facebook: https://facebook.com/profile.php?id=100085095740391

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Profile page: https://yespress.io/alaffia-health
Published by YesPress — https://yespress.io
Last updated: 2026-07-22