Actionable Intelligence for the Future of Insurance.
Klevera is the decisioning layer for carriers, TPAs, healthcare providers, EMR companies, and RCM companies — automating underwriting, claims, and care delivery with clinical precision and without compromising on governance.
- + Normal labs, no flagged Rx history
- + Stable BMI trajectory across 36 mo
- · Family history reviewed, non-material
Trusted by leading carriers, providers, and healthtech partners
Platform
One decisioning layer across healthcare and insurance operations.
Automated underwriting
Ingest medical records, scripts, and applications. Klevera produces a risk decision with explainable rationale in seconds.
Claims intelligence
Triage clinical claims, surface inconsistencies, and route to the right reviewer with provenance attached.
Risk scoring
Longitudinal models score mortality, morbidity, and persistency across portfolios — refreshed continuously.
Fraud & abuse detection
Graph-native anomaly detection exposes provider rings and coordinated submissions before payout.
Solutions
Intelligent products for every stage of the insurance lifecycle.
Klevera Knowledge Fabric
Unified data layer integrating EHR, claims, and policy data into an auditable knowledge graph for enterprise intelligence.
- Multi-source data integration
- Knowledge graph construction
- Real-time data refresh
- Enterprise-wide accessibility
Klevera Prior Authorization
Automate prior authorization triage with clinical evidence synthesis, reducing approval cycle times from days to minutes.
- Clinical evidence automation
- Real-time authorization triage
- Payer protocol compliance
- Appeals management
Klevera Claims Intelligence
Triage claims automatically, detect anomalies, and route complex cases to the right reviewers with full provenance.
- Automated claims triage
- Anomaly detection
- Fraud pattern recognition
- Auditable decision trails
How it works
A decisioning fabric, not another black box.
Klevera sits alongside your core systems and reasons over the same evidence your actuaries and medical directors trust — with the transparency you need to deploy in production.
- 01
Integrate
Connect to your policy admin, claims, and EHR sources through Klevera's secure data plane.
- 02
Decide
Our domain models synthesize structured and unstructured evidence into an auditable decision.
- 03
Govern
Every output carries provenance, rationale, and policy version — ready for regulators and auditors.
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 underwriting or claims workflow and walk you through the rationale, line by line.