Commercial Practice

Who We Help


Healthcare Companies

In today’s market, health plans distinguish themselves based on the quality of care they offer through their membership. We’ve developed RAMP to take your health plan’s Risk Adjustment to the next level. Whether you’re in the commercial market or the exchange markets, we welcome the opportunity to learn about your objectives and tell the story behind our solutions for Risk Adjustment and health plan operations.

For Medical billing and claims management, the solution ensures claims are correct before submission and prioritizes any that require attention, easily creates work queues to assign groups of claims for manual resolution, simplify claims tracking by viewing ERAs matched to original claim on the same screen.

To automate reject and denied claims process to enhance staff efficiency and accuracy, the solution applies AI and machine learning technology to predict denial candidates prior to submission. The dashboards and report make the revenue cycle visible uncovering the source of problematic trends such as repeated rejections helping IPAs implement solutions. The AI technology can also help IPAs make more informed and proactive decisions impacting the revenue cycle.

Data Management and Analysis

Data is a crucial component, and managing it effectively is essential to improving processes and organizational performance. Our team of experts understands the importance of data and is dedicated to helping clients optimize their data management systems. We offer a range of services, including data capture, data analysis, data visualization, data storage, and data security. By leveraging data, we can identify trends, patterns, and insights that inform critical decisions and organizational strategy. We also ensure that our clients’ data is secure and compliant with industry regulations, protecting patient privacy and confidentiality.

Data Visualization

Data Visualization is an essential tool that enables users to make informed decisions by presenting complex data in a clear and concise manner. Our team of data visualization experts uses cutting-edge software to create interactive charts, graphs, and dashboards that help users understand and analyze their data. By visually representing data, we can identify trends, patterns, and insights that can inform critical decisions about processes and organizational strategy. Our data visualization services are tailored to meet the specific needs of our users, and we work closely with our clients to ensure that their data is presented in a way that is accessible and easy to understand.

Contact us today to learn more about our data management and data visualization services. We can help you leverage your data to make data-driven decisions and improve patient outcomes and organizational performance.