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Unlock up to 20% Employer Savings on Routine Lab Spend — Without Changing Networks or Workflows

Reduce waste for your self-insured book of business

Avalon helps TPAs reduce unnecessary routine lab testing, strengthen employer renewals, and streamline claims workflows with 100% automated, evidence-based lab benefit management.

Download the Lab Trend Report

The Hidden Cost Draining TPA Margins

Routine lab testing is the most utilized medical benefit—and up to 30% of tests are unnecessary, often leading to $2–$6 of downstream cost for every low-value dollar spent. Costs vary 5x by site of service, with outpatient hospital labs being the most expensive.


Self-funded employers are demanding more transparency, cost containment, and value from their TPAs.

Avalon delivers it.

Download the Lab Trend Report

The Avalon TPA Advantage

Avalon stewards care by elevating quality, transparency, and independence while removing waste and delivering demonstrated savings.

Immediate Measurable, Savings

  • 10–20% reduction in outpatient routine lab spend
  • $1–$3 PMPM impact across ASO/self-funded groups
  • 25% reduction in member out-of-pocket costs due to eliminated test waste

Zero Disruption Implementation

  • No network changes
  • No vendor displacement
  • No member or provider disruption
  • Minimal TPA lift — no system rebuilds

100% Automated, Clinical Rules-Based Review

  • Powered by 65 evidence-based routine lab policies validated by MDs/PhDs
  • Real-time claim review with sub-second response times
  • 1M+ automated edits per client powered by Avalon’s patented tech

Evidence-Based Science You Can Trust

  • 20,000+ lab tests covered under rigorously researched, clinically aligned policies
  • Independent Clinical Advisory Board with 140+ years of experience
  • Over 10 years of validated results managing diagnostic waste

Strengthen Renewals & Enhance Your ASO Story

TPAs use Avalon to:

  • Provide a compelling, quantifiable savings lever
  • Improve employer retention with transparent  analytics
  • Expand competitiveness in mid-market ASO
  • Increase value to stop-loss partners

Proven Impact Across the Industry

Trusted by 30+ health plans and 90M+ members

Industry-validated: HITRUST CSF Certified, NCQA Accredited

Real-world example: A regional blues plan achieved $112M in savings/year with Avalon

Why
now?

TPAs face rising employer expectations, expanding broker influence, and relentless cost pressures. Routine lab testing is one of the last remaining areas of immediate savings — and it’s easy to fix with Avalon.

Take the First Step Toward Immediate Employer Savings
Schedule a 15-Minute Meeting

Get a personalized ROI analysis based on your ASO claim volume

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