Platform Capabilities
AI-powered capabilities to streamline risk reviews, enhance data quality, and strengthen audit defensibility.
Analytics & Performance
Gain Complete Visibility with Unified Data Ingestion
See every member, every data stream, in one place
Integrates claims, clinical, pharmacy, lab, and SDoH data.
Normalizes feeds into a unified data model to eliminate duplicates.
Maintains continuously refreshed, compliant member records.
Enables consistent, governed data sharing across risk and quality teams.
Chart Retrieval & Coding
Make Faster, Smarter Decisions with LLM and AI Agents
Surface insights at the moment of action
Delivers real-time coding prompts, suspect condition flags, and measure alerts directly in-workflow.
Predicts care gaps, anomalies, and audit risks using explainable AI models.
Automates manual reviews, reconciliation, and abstraction to accelerate performance.
Provides verifiable, transparent outputs for confident decision-making.
Build, deploy, and govern AI workflows. Scale automation securely with full transparency and human oversight.
Prospective, Concurrent, and Retrospective Reviews
Ensure Compliance with Interoperability by Design
Exchange and report data seamlessly
NCQA-certified for HEDIS and CMS Stars reporting.
Supports HL7 FHIR+, CMS Interoperability 0057, and industry exchange standards.
Maintains full data traceability with governed audit trails.
Secures every record with HIPAA, HITRUST, and SOC 2 Type II certifications.

Built to Transform Risk and Quality Performance

Eliminates silos
Across risk and quality workflows
Improves efficiency
Across Risk and Stars programs
Accelerates decision-making
With AI-powered workflows
Reduces manual effort
Through automation and unified intelligence
Strengthens compliance
With certified, transparent interoperability