Actuarial services
Analysis you can take into a negotiation, a filing, or a board meeting. The same claims foundation that powers our products, applied by people who work in it every day.
Why services
Software finds the pattern. An engagement settles the question.
Some questions do not fit inside a product: a risk deal is on the table and the file that describes the population does not add up; a payer extract needs to be proven before anyone builds on it; a reporting obligation spans programs and states. Those are engagements.
Ariv's services run on the same discipline as our software. Every figure traces to the data that produced it, every correction is recorded as a ruling, and the result is a number you can defend to a payer, an auditor, or a board.
To the cent
the standard our reconciliations are held to before a number leaves the building
Our service lines
Claims forensics and data integrity
Forensic review of claims feeds, surfacing the truncation, duplication, and structural errors that quietly distort every downstream number.
Value-based contract economics
Deal modeling, program feasibility, and competing-model adjudication for organizations taking on healthcare risk.
Rating and contract pricing
Rate development for sub-capitation, episode contracts, case rates, and total cost of care, delivered as an engagement.
Financial reporting
Revenue reconciliation, risk-score tracking, and state-program reporting across Medicare Advantage and Medicaid, delivered as a service.
Findings from the field
What this work finds in practice.
19x
Overstated spend, found before it shipped
A payer extract repeated header-level paid amounts on every claim line. Summed naively, it overstated spend nineteen-fold. The corrected figure reconciled to the cent.
1,048,575
The file ended where the spreadsheet does
A claims extract arrived silently truncated at the spreadsheet row limit. Forensic review caught it before it understated a year of experience.
Engagement details are shared with client identities removed.
Credibility
Our methods are written down.
Ariv's actuaries publish on claims integrity and value-based contract economics, and every engagement inherits the same documented methodology. Read our published work in Resources.