AI Operations Layer for Claims Administration
Parva helps payers and TPAs resolve coverage, claims, and documentation workflows faster. Automate outreach, evidence collection, and case resolution without replacing existing systems.
Benefits
Scale your business without scaling headcount
Accelerate your operations while delivering better member and provider experiences, reducing operational overhead, and growing at scale.
Workflows
Automate your most manual workflows
Parva's AI agents are customized for your specific workflows, with built-in HIPAA compliance, auditability, and the latest in infrastructure security.
Parva helps identify missing or stale coverage information, collect the right evidence from members, providers, or other payers, and return structured verification results.
Multi-Scenario COB Detection - Automatically identify and resolve coordination issues across Medicare, dual-coverage, multi-parent, and accident-related scenarios.
Continuous Verification - Keep coverage records current with ongoing checks for stale or conflicting information.
Evidence Collection - Launch branded outreach flows to collect member attestations, insurance cards, provider input and other details.
Parva explains claim status, pend reasons, denials, missing information, payment status and next steps, while escalating cases that need human review.
Multi-Channel Support - Handle provider and member inquiries across phone, email, fax and text.
Smart Escalation - Route complex, sensitive, or low-confidence inquiries to the right ops teams.
Fully Compliant - Handled by AI designed for regulated industries. Capture every answer, source, timestamp and handoff for review and compliance.
Parva moves authorizations forward without manual chasing.
Documentation Chase - Request clinical notes, results, and other required documentation from providers.
Follow-Ups - Detect stuck or incomplete auth requests and automatically trigger next steps.
Why Parva
Purpose-Built for Claims Operations
Not a chatbot. A clinical-grade operations coworker.
Member-Level Memory
All interactions are informed by members' prior claims and conversations - leading to more meaningful conversations and satisfied members.
Broker Transparency
Give your brokers a permissioned, read-only view of claim trends and status for their groups. Become the TPA that brokers want to sell.
Clear Logic Reasoning
Every answer provided by the AI is cross-referenced against your "Source of Truth" (the SPD or Claim File) with a clear audit trail for your team.