Hedis Preaudit Application

Health plans in the U.S. face challenges in improving measurable outcomes for their members and programs. They need advanced, HIPAA-compliant SaaS platforms leveraging AI, NLP, and ML technologies to optimize risk adjustment and quality improvement programs. These platforms should provide intelligent automation for HEDIS pre-audit, enabling efficient clinical data retrieval and analysis from medical records and insurance data for Medicare, Medicaid, and Commercial plans. By reducing resource consumption and offering robust analytics, such solutions empower managed care organizations to meet critical deadlines, enhance provider outreach, and streamline medical record retrieval, coding, abstraction, and reporting processes.