For Health Plans
120–180%
annually
Average ROI
15–25%
annually
Increase revenue capture
Accurate Risk. Stronger Quality. Confident Compliance.
Risk & RAF Accuracy
High-precision concurrent, prospective, and retrospective reviews that ensure accurate HCC capture and risk score integrity.
Quality & HEDIS Excellence
Measure abstraction, chase strategies, gap closure, supplemental data, and STAR improvement programs.
Reliable Plan Operations
Scalable support for chart retrieval, member management, provider data integrity, and clinical abstraction workflows.
Comprehensive Health Plan Solutions
We help payers achieve accurate risk scoring, stronger quality results, regulatory alignment, and streamlined plan operations across all departments.
Serving Medicare Advantage, Medicaid, Commercial Plans, TPAs, MSOs, IPAs, and fully or partially delegated entities.
Risk Adjustment Services
Concurrent, prospective, and retrospective reviews, HCC validation, RAF modeling, and provider education.
Quality & HEDIS
Year-round abstraction, chart chasing, supplemental data support, STAR strategy, and measure performance improvement.
Clinical Data Abstraction
Accurate abstraction for HEDIS, quality programs, registries, clinical audits, and analytics initiatives.
Chart Retrieval Operations
Nationwide provider coverage, EMR integration, portal retrieval, and facility coordination with high completion rates.
Member Management
Eligibility verification, outreach campaigns, care coordination, welcome calls, appointment scheduling, and engagement workflows.
Provider Network Data
Directory accuracy, roster management, credentialing data, NPI validation, and regulatory compliance alignment.
98%
HEDIS Abstraction Accuracy
99.7%
Chart Retrieval Success Rate
35%+
Improvement in Gap Closure
Increased Profitability
Time Savings
Streamlined workflows reduce administrative burden and saving countless of hours.
Regulatory Confidence
Audit-ready processes aligned with CMS and NCQA frameworks for reliable compliance.
Quality Improvement
Enhanced measure performance with high-accuracy abstraction and gap-closure workflows.
Risk Accuracy
Improved HCC validation, risk modeling, and data integrity across populations.
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