Driving Performance in Insurance-Based Primary Care

Empowering Data-Driven Primary Care

Optimize Reimbursements

• Analyze claims, coding patterns, and encounter data to reduce denials and improve revenue cycle efficiency.
• Identify underbilling or missed risk adjustment opportunities, such as HCC coding gaps.

Improve Quality Metrics

• Track MIPS, HEDIS, and other quality measures in real time.
• Get alerts for patients overdue for screenings, chronic care follow-ups, or preventive services.

Value-Based Contracts

• Provide performance dashboards for Medicare Advantage, ACO REACH, MSSP, and commercial value-based care programs.
• Help practices understand cost drivers and benchmark performance against peers.

Enhance Care Coordination

• Integrate data from EHRs, labs, and payers to surface care gaps.
• Identify high-risk patients for care management and reduce avoidable ER visits or hospitalizations.

Streamline Operations

• Automate data aggregation across EHRs, clearinghouses, and claims systems.
• Deliver actionable reports for both clinical and administrative teams—no manual data wrangling needed.