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Amplify Your Plan’s Accuracy and Efficiency with High-Impact AI

Put healthcare data to work for your members and your business with advanced clinical guidance and insights.

How do we support health plans

Health plan operations have become increasingly complex under different payment models and performance programs that require a nuanced understanding of patient health and clinical treatment. Apixio’s risk adjustment, quality measurement, clinical guidance, and interoperability solutions help your plan reduce administrative overhead while gleaning deeper, more meaningful insights from administrative and clinical datasets.

Why should health plans partner with Apixio?

Operate More Efficiently

Help your team streamline workflows and speed up manual processes.

Increase Accuracy and Visibility

Get richer, more reliable insights out of your clinical and administrative data.

Streamline Data Acquisition

Minimize high-friction chart retrieval with seamless data integrations.

Proactively Assess Population Health

Identify and address patient conditions upstream with superior intelligence.

Our health plan solutions



Accurate, efficient risk adjustment coding and audit reviews for MA and ACA programs.

Explore HCC Identifier
Explore HCC Auditor
Explore HCC Complete



Automated, secure data acquisition from provider partner EHRs to power member insights.

Explore InfoStream



Timely, reliable intelligence to streamline prospective diagnosis gap closure and recapture at the point of care.

Explore Apicare Pre-Visit
Explore Apicare Insights



Real-time Quality Reporting Solution and AI-Powered Chart Abstraction.

Explore Apicare Quality Reporting
Explore Quality Identifier


Utilization Management

Deliver AI-powered prior authorization decisions in seconds.

Explore Apicare AuthAdvisor

Give Your Health Plan a Competitive Advantage with Apixio

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