Alaffia Health is an AI platform for health-plan claims review, founded in 2020 by siblings TJ Ademiluyi and Adun Akanni in New York City; the company pairs clinicians with what it calls agentic AI to audit medical claims against patient records and catch billing waste before it gets paid out.
The platform, marketed under the product name Autodor, ingests claims and medical records and runs automated clinical case reviews across payment integrity, utilization management, appeals, and special investigations, routing findings to human clinicians for validation with traceable rationale rather than issuing an unreviewed automated denial. The company reports a 20x increase in review throughput and a 97%+ accuracy rate, and says it has saved health plans more than $100 million to date.
Alaffia Health is built for health plans and cost-containment firms dealing with the administrative side of the roughly $570 billion in annual U.S. healthcare claims waste the company cites, not for individual patients or providers. It raised a $55 million Series B in February 2026, led by Transformation Capital, bringing total funding past $73 million; pricing isn't published and requires a direct sales conversation.
