AI for Risk Adjustment

Our risk adjustment NLP solution allows our customers to streamline the identification of HCCs from any medical record format, across all structured and unstructured data. Agnostic to any risk adjustment model version, we deliver 20x faster insights versus a manual review, with 99% HCC detection confidence, ensuring we deliver accurate and compliant results.

Our solution includes:

  • Analytics to support all lines of business

  • Logic to support language and code gap detection

  • Future event predictive using extracted medical codes

  • PDF, Image, HL7 FHIR, HL7 CDA, and HL7 ADT data accepted, among others

  • FHIR, JSON, CSV, and custom extracts

Risk Adjustment AI for CCDA and FHIR