Evidence based Premium Enhancement

 -       Identify diagnoses that are found in the medical records, but do not appear on the claim to support possible MRA modifications.

-        Highlight and Annotate missing diagnosis in the medical record.

-        Timely discrepancy alerts and reports to PCP and MSO of FBNR diagnosis.

Risk Adjustment Data Validation Support

-        Proactive validation and identification of diagnoses present in the claim, but absent from the medicalrecord (the opposite problem).

-        Get your data RADV audit ready.

100% Sampling