The next generation workflow engine for health plans

We make complex payer/provder workflows simple to use so you can do more with less, unlocking the full potential of your teams.

Quality & Risk

Get The Data You Need

Hit tough gap closure targets by getting high quality encounter data without provider abrasion while lowering your effort with our Care Gap Management Application (CGMA).

  • Meet provider groups where they are with solutions that include a radically easy-to-use portal beloved by groups, or EHR point-of-care data integration solutions for groups that are ready.
  • Avoid unnecessary switching costs by keeping your Quality and Risk engines & other tech that’s working for you.

Get A Handle On Your Provider Group Relationships

You’ll know the temperature of each
provider group relationship, letting you focus your limited time where it can have the most impact

  • Our purpose-built CRM that you can’t get anywhere else manages multi-channel provider group outreach campaigns and tracks outcomes.
  • KPI reporting and analytics track and summarize provider group activities.
  • Execute satisfaction surveys in a snap with pre-built questionnaire templates integrated into the provider group experience, powering continuous improvement.

Overcome Chart Challenges

Faced with mountains of medical charts to process and Validator resource constraints? Meet Curate, our next generation chart processing AI.

  • Double the chart review capacity of your Validators with our HIPAA compliant AI that does 1st-level review of charts quickly and accurately from any source.
  • Works at scale for both Quality and Risk Adjustment.
  • 95% average accuracy.

Provider Data Management

Meet CMS Mandates

Give us your provider data (don’t worry – we won’t judge!) and we’ll help you become compliant with the federal No Surprises Act for provider data accuracy.

  • Quick launch playbooks get your provider groups attesting in days, not months.
  • Reports and analytics let you see where we are with hitting quarterly attestation goals.

Save Time & Costs

Free your team from the costly, demanding, endless hamster wheel of quarterly attestation mandates.

  • We’ll lead regular weekly check-ins to ensure you understand attestation status.
  • Our culture of service and ownership that loves making you and your programs successful, with testimonials to prove it.

Build Better Relationships

Kick cumbersome, outdated attestation processes to the curb and get on the path to better provider & member relationships through accurate provider directories.

  • A unique combination of our one-of-a-kind omnichannel CRM and our service team manages outreach campaigns, tracking the quarterly attestation status of every provider record.
  • A great user experience attesters give a 92% CSAT satisfaction rating (Hint: that’s really good! ).
  • A roster spreadsheet submission option helps meet provider groups where they are.