Customer Story

How Alveo Health Keeps Its Claims Clearinghouse Running on SQL Server with WISdom

Alveo Health processes healthcare claims that can’t wait in line. When SQL Server slowdowns started dragging on operations, Fortified’s managed DBA team—backed by WISdom, SQL Server performance monitoring with FinOps built in—found what Alveo couldn’t see, fixed it at the root, and put continuous monitoring in place so the problems stay solved.

Customer Profile

Customer: Alveo Health

Industry:Healthcare — Claims Clearinghouse

Website: alveohealth.com

Spotlight: Tim Doyle, Sr. Programmer / Analyst

Key Outcomes:

  • SQL Server query lag resolved and performance restored

  • Continuous WISdom monitoring keeps issues from coming back

  • Internal IT freed to focus on core business tasks

  • 24/7 US-based support with responses in 30 minutes or less

The Problem You Can’t See

Alveo Health runs a highly configurable claims clearinghouse that plugs into any practice management system—work that depends on SQL Server staying fast and available. When query lag and degraded performance started creeping in, the impact hit day-to-day operations, and the hardest part wasn’t the slowdown itself. It was not being able to see what was causing it.

Alveo’s team could feel the symptoms but couldn’t pinpoint the source. That’s the trap most teams fall into: reacting to slowness without the visibility to fix it for good.

Making the Invisible Visible

Fortified started with a full database assessment and technical discovery, using WISdom to surface what was actually dragging the environment down—the queries, the waits, and the health signals Alveo’s existing tools weren’t showing. With the real bottlenecks in view, the team optimized the environment and brought performance back.

The assessment made one thing clear: one-time tuning wasn’t enough. Alveo needed ongoing monitoring and management so a fix today wouldn’t become a fire drill next quarter.

Fixes That Stick

This is where the work moved from firefighting to engineering. Fortified compressed key indexes and built automation around size reporting on Alveo’s largest tables—the kind of change that stops a problem before it starts. Instead of waiting for the next slowdown, the team removed the conditions that cause it.

With WISdom watching the estate continuously, regressions get caught early and the worst offenders stay at the top of the list, so effort lands where it actually pays off.

Support That Actually Supports

Tim Doyle, Senior Programmer/Analyst at Alveo, is quick to point to the support experience as the difference-maker. Fortified is backed by US-based database experts—real people who answer fast, not a script-reading queue.

“It’s nice to know Fortified is an email or phone call away in the event of a minor or major problem. They provide 24/7 support; you can typically get a response within 30 minutes or less as to the action plan and next steps.”

“In a word, ‘reliable.’ We lean on Fortified. They’ve proven themselves as excellent partners for Alveo.”

That responsiveness is what turned a vendor relationship into a strategic partnership—one that lets Alveo’s internal team stop managing databases and get back to the business.

Key Outcomes:

  • Performance restored: SQL Server query lag resolved and the environment optimized at the root cause
  • Problems that stay solved: compressed indexes and automated reporting prevent future performance issues
  • Room to grow: a highly available estate let Alveo expand product offerings for a growing client base
  • A team freed up: database administration is no longer a daily concern, so IT focuses on core business
  • Expert support: US-based experts on call 24/7, with action plans in 30 minutes or less

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