Amera

Solutions

Schedule demo

Amera

Backed by

Combinator

Automating claims workflows for the self-funded ecosystem

Amera standardizes claims data from any source and automates your entire processing workflow - enabling you to serve more members with the same operational capacity.

Schedule demo

See How it Works

Claim ID

00037311

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00012345

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00061463

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

02/21/2025

99212

$950

$500

AI-powered analysis

Claim ID

00037311

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00012345

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00061463

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

02/21/2025

99212

$950

$500

AI-powered analysis

Claim ID

00037311

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00012345

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00061463

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

02/21/2025

99212

$950

$500

AI-powered analysis

Backed by

Combinator

Automating claims workflows for the self-funded ecosystem

Amera standardizes claims data from any source and automates your entire processing workflow - enabling you to serve more members with the same operational capacity.

Schedule demo

See How it Works

Claim ID

00037311

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00012345

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

10/15/2025

99213

$250

$200

Claim ID

00061463

Patient Name

Provider

Date of Service

CPT Code

Amount Charged

Amount Paid

John Doe

Cleveland Clinic

02/21/2025

99212

$950

$500

AI-powered analysis

One Platform, End-to-End Claims Automation

Amera standardizes claims data from any source and automates your entire processing workflow - from intake to carrier submission to real-time reporting.

Everything You Need to Modernize Claims Operations

Unconventional Claims Clearinghouse

Automatically convert any claim format into standardized workflows. Process EDI files, paper bills, PDFs, faxes, and proprietary systems through one unified intake pipeline.

99%+ data accuracy across all formats

Automatic validation and error flagging

Built-in compliance checks

Learn More

Unconventional Claims Clearinghouse

Automatically convert any claim format into standardized workflows. Process EDI files, paper bills, PDFs, faxes, and proprietary systems through one unified intake pipeline.

99%+ data accuracy across all formats

Automatic validation and error flagging

Built-in compliance checks

Learn More

Unconventional Claims Clearinghouse

Automatically convert any claim format into standardized workflows. Process EDI files, paper bills, PDFs, faxes, and proprietary systems through one unified intake pipeline.

99%+ data accuracy across all formats

Automatic validation and error flagging

Built-in compliance checks

Learn More

Unconventional Claims Clearinghouse

Automatically convert any claim format into standardized workflows. Process EDI files, paper bills, PDFs, faxes, and proprietary systems through one unified intake pipeline.

99%+ data accuracy across all formats

Automatic validation and error flagging

Built-in compliance checks

Learn More

Intelligent Claims Pre-processing

AI-powered routing and adjudication that learns your business rules and automates manual workflows. Achieve 85%+ auto-adjudication rates without compromising accuracy.

Real-time eligibility verification

Automated provider validation

Smart duplicate detection

Configurable business rules engine

Learn More

Intelligent Claims Pre-processing

AI-powered routing and adjudication that learns your business rules and automates manual workflows. Achieve 85%+ auto-adjudication rates without compromising accuracy.

Real-time eligibility verification

Automated provider validation

Smart duplicate detection

Configurable business rules engine

Learn More

Intelligent Claims Pre-processing

AI-powered routing and adjudication that learns your business rules and automates manual workflows. Achieve 85%+ auto-adjudication rates without compromising accuracy.

Real-time eligibility verification

Automated provider validation

Smart duplicate detection

Configurable business rules engine

Learn More

Intelligent Claims Pre-processing

AI-powered routing and adjudication that learns your business rules and automates manual workflows. Achieve 85%+ auto-adjudication rates without compromising accuracy.

Real-time eligibility verification

Automated provider validation

Smart duplicate detection

Configurable business rules engine

Learn More

Automated Stop-loss Reporting

Generate and submit stop-loss reports automatically with complete documentation and supporting evidence. Reduce carrier submission time from weeks to minutes.

Automatic threshold monitoring

Compliant data package creation

Multi-carrier submission workflows

Faster recoveries with complete documentation

Learn More

Automated Stop-loss Reporting

Generate and submit stop-loss reports automatically with complete documentation and supporting evidence. Reduce carrier submission time from weeks to minutes.

Automatic threshold monitoring

Compliant data package creation

Multi-carrier submission workflows

Faster recoveries with complete documentation

Learn More

Automated Stop-loss Reporting

Generate and submit stop-loss reports automatically with complete documentation and supporting evidence. Reduce carrier submission time from weeks to minutes.

Automatic threshold monitoring

Compliant data package creation

Multi-carrier submission workflows

Faster recoveries with complete documentation

Learn More

Automated Stop-loss Reporting

Generate and submit stop-loss reports automatically with complete documentation and supporting evidence. Reduce carrier submission time from weeks to minutes.

Automatic threshold monitoring

Compliant data package creation

Multi-carrier submission workflows

Faster recoveries with complete documentation

Learn More

Real-Time Visibility & Analytics

Live tracking of every claim in your system with performance metrics and actionable insights. Prevent issues before they impact operations.

Real-time claim status tracking

Performance benchmarking

Revenue leakage detection

Custom reporting and alerts

Learn More

Real-Time Visibility & Analytics

Live tracking of every claim in your system with performance metrics and actionable insights. Prevent issues before they impact operations.

Real-time claim status tracking

Performance benchmarking

Revenue leakage detection

Custom reporting and alerts

Learn More

Real-Time Visibility & Analytics

Live tracking of every claim in your system with performance metrics and actionable insights. Prevent issues before they impact operations.

Real-time claim status tracking

Performance benchmarking

Revenue leakage detection

Custom reporting and alerts

Learn More

Real-Time Visibility & Analytics

Live tracking of every claim in your system with performance metrics and actionable insights. Prevent issues before they impact operations.

Real-time claim status tracking

Performance benchmarking

Revenue leakage detection

Custom reporting and alerts

Learn More

Schedule demo

Transform Claims Operations in Weeks, Not Years

85%

Auto-adjudication rate

45%

Faster Stop-loss recoveries

60%

Fewer Carrier disputes

2-4

weeks

Contract to live claims

Real-time carrier visibility

Give stop-loss carriers the data they need for better terms

Built for Enterprise Claims Operations

Amera isn't another point solution - it's the modern infrastructure layer that replaces legacy systems and powers your entire claims operation.

Schedule demo

Infrastructure, Not Just Automation

We don't bolt onto your existing systems - we replace them. Process millions of claims through one unified platform designed for scale.

Any Format, Any Source

Our normalization engine handles EDI, PDFs, paper, fax, and proprietary formats. If you receive it, we can process it.

Built for Healthcare

Deep healthcare data expertise means accurate processing of complex medical claims, not generic document automation.

Health care costs are driving a shift toward alternative health plans and flexible payment models. Supporting this emerging world requires what Amera has built - a new tech stack powered by novel approaches to data orchestration.