Disclosable Capabilities (not an extensive list)

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A passive verification layer across the entire network — in seconds.

eAffirm casts a verification net across an entire provider network in seconds, with zero added work for providers or care staff. The two elements payers find hardest to replicate — network-wide speed and zero operational disruption — are delivered together, by design.

Stealth Care-Conversion Convos — the digital spearhead.

eAffirm’s original flagship proprietary technology and methodology: deeply-layered, AI-enhanced, algorithmically configured logic, learning, and decision engines, create focused and automatically personalized, stealth conversations that engage beneficiaries at scale and convert ordinary care interactions into verified, structured intelligence — with no prompts, no portals, and no staff time. It operates as an invisible intelligence layer, continuously, in the background.

Verification without exposure.

Identity and encounter are confirmed through layered, non-sensitive interaction, hidden in plain language — never by asking a beneficiary for PHI or information a bad actor could exploit. Combining a multitude of objective and subjective values. Verification is multilingual, privacy-first, developed specifically to be auditable - accurate - actionable at national scale, and multi-factor by design.

The analytical layers.

•  Real-time disparity detection across provider networks, surfaced through the Disparity Score™.

•  FWA Frequency & Severity Ratings — prioritizing what matters, by scale of exposure.

•  Peer-to-peer and group-to-group comparisons — outlier identification across the network.

•  Provider Risk-ReportCard™ — a consolidated, defensible provider risk view.

•  Evidence Tracker™ and Chain-of-Evidence™ — audit-ready substantiation from first signal to finding.

•  Risk visualization and workflow optimization — interactive, customizable, shareable dashboards and reports.

Detection. Prevention. Reporting. — Pre-Payment.

The same platform supports detection of suspicious and over-billing, pre-payment prevention before dollars are released, and audit-and-recovery workflows — across managed care organizations, state Medicaid programs, payers, and federal stakeholders. Out-of-the-box ready, or fully configurable. Scalable on demand. Fully HIPAA-compliant.