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Episource Clarity Platform

Risk Adjustment and Quality solutions that deliver.

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Overview

The Episource Clarity platform is a comprehensive solution designed for health plans and risk-bearing providers to manage risk adjustment and quality programs. It combines data acquisition services, NLP-powered medical chart coding, RAF analytics, and provider engagement tools to help organizations close risk and quality gaps effectively.

✨ Key Features

  • End-to-end Risk Adjustment solution
  • RAF Analytics and Suspecting Tools
  • NLP-powered Medical Chart Coding
  • Data Acquisition Services
  • Provider Engagement and Clinical Support

🎯 Key Differentiators

  • End-to-end platform covering the entire risk adjustment lifecycle.
  • Use of NLP for medical chart coding enhances accuracy and efficiency.
  • Combines technology with services like data acquisition and clinical support.

Unique Value: Provides a complete, end-to-end solution for risk adjustment, combining advanced technology like NLP with essential services to deliver measurable outcomes for payers and providers.

🎯 Use Cases (4)

Risk Adjustment Quality Improvement (HEDIS) Payer-Provider Collaboration Data Submission and Compliance

✅ Best For

  • Delivering tangible outcomes for health plans and risk-bearing providers through a comprehensive risk adjustment platform.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations looking for a broad population health platform with care management workflows.

🏆 Alternatives

Optum Cotiviti Apixio

Offers a more integrated and comprehensive solution specifically for risk adjustment, compared to broader PHM platforms that may have less specialized RA functionality.

💻 Platforms

Web

🔌 Integrations

EHRs Claims Data Health Plan Systems

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO

💰 Pricing

Contact for pricing
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