For Health Insurance

Decisions you can Defend.

Klevera is an AI-powered Decision Intelligence platform for payers and providers that transforms structured and unstructured data into an integrated knowledge fabric that powers faster, smarter decisions through agentic workflows for prior-authorizations, and claims, thereby improving operational efficiency, reducing costs, enhancing accuracy, and delivering better patient outcomes.

HIPAA compliant
ISO27001
CMS-0057 compliant

Trusted by

Top-3 US Health Insurer
MIMIT Healthcare
InPracSys EMR
Top Indian TPA

Platform

One decisioning layer across healthcare and insurance operations.

Independent at the decision layer

Being independently owned, Klevera does not compete with its customers thereby ensuring sovereignty over data and models by the customers.

Built to be defended years later

Every decision is defensible and can be reconstructed years afterwards thereby ensuring full auditability for any future appeals.

A foundation, not an accelerator

Klevera's Knowledge Fabric is a reusable knowledge layer with the same layer supporting current and future use cases.

Insurance-native, proven at scale

Klevera is powered by two patents on the extraction layer, and has been in production since 2021 at top-3 US health insurer with ~1500 health services staff.

How it works

A decisioning fabric, not another black box.

Klevera sits alongside your core systems and reasons over the same evidence your clinical and operations teams trust — with the transparency you need to deploy in production.

  1. 01

    Integrate

    Connect to your benefits, claims, and EHR sources through Klevera's secure data plane.

  2. 02

    Decide

    Our domain models synthesize structured and unstructured evidence into an auditable decision.

  3. 03

    Govern

    Every output carries provenance, rationale, and policy version — ready for regulators and auditors.

1.6M
Members in FEP program
43M
Claims per year
~1500
Health services users
$1.5M
Savings per annum

Governance

Built to pass regulator review — and your second line.

HIPAA aligned

Controls and BAAs for handling protected health information end-to-end.

SOC 2 Type II

Independently audited security, availability, and confidentiality posture.

Model governance

Versioned models with documented training data, evaluations, and drift checks.

Explainability

Every decision ships with human-readable rationale and source citations.

See Klevera decide on your real cases.

We'll run a private benchmark on a sample of your authorization or claims workflow and walk you through the rationale, line by line.