Recover What Your TPA Won't Return
AVYM identifies and recovers self-funded health plan assets hidden within complex TPA recoupment cycles and structural conflicts — as required under ERISA and fiduciary law.
Your TPA Has a Structural Conflict
Third Party Administrators operate in a landscape where their interests often diverge from plan sponsors. Aetna, UnitedHealthcare, and Cigna administer 42–76% of all self-funded lives — creating inherent incentive misalignments that cost plan sponsors millions.
Self-funded lives
Of the total US insured population covered by ERISA self-funded plans.
Covered workers
Are enrolled in plans that are self-funded rather than fully insured.
TPA market size
Projected global market revenue for claims administration services.
Avg family cost
Annual health coverage cost for an average family of four.
How We Recover Your Plan Assets
Comprehensive RecoveryDemystify TPA Recoupments
Uncover overpayment recoupments between TPAs and providers that quietly drain your plan assets instead of returning them to sponsors.
Identify Hidden Fees
Analyze Administrative Service Agreements to pinpoint undisclosed shared savings or transactional fees disguised as claim payments.
Pinpoint ASA/ASO Issues
Fiduciary-first auditing of legal contracts to ensure compliance with ERISA section 404/406 standards and protect plan interests.
Turnkey Operation
Full lifecycle management of claims recovery with zero disruption to your existing HR or financial workflows. No upfront costs.
Ongoing Claims Monitoring
Continuous oversight of current claims cycles to prevent future leakage and maintain permanent plan asset integrity.
The Only Independent Auditor With Zero Conflicts
AVYM Corporation is not an insurance company, a broker, or a TPA. Our independence is our greatest asset, allowing us to pursue recoveries that others are structurally incentivized to ignore.
Zero Insurance Affiliations
We are purely client-focused. We never receive kickbacks or commissions from the carriers we audit.
13+ Years in Market
Over a decade of specialized experience in ERISA law and healthcare billing cycle forensics.
No Upfront Costs
Our performance-based model means we only succeed when you recover your assets.
Millions Recovered. Precedent Set.
Horizon BCBS Exposed
AVYM consultants exposed Horizon's alleged scheme to overcharge New Jersey's public employee health programs, leading to regulatory scrutiny.
6th Circuit Recovery Pathway
Federal appeals court created a new legal pathway for self-insured health plans to recover plan assets from TPAs under ERISA fiduciary standards.
Peters v. Aetna Fiduciary Lessons
Landmark fiduciary case establishing precedent for TPA accountability — every plan sponsor needs to understand these implications.
UHC Cross-Plan Offsetting Ruling
Court ruled UnitedHealthcare's cross-plan offsetting constitutes a grave conflict of interest, vindicating years of AVYM advocacy.