Edifecs is a healthcare data interoperability platform that integrates clinical and financial data and provides insights to drive performance in alternative payment models. They also support risk adjustment and prior authorization processes. Edifecs provides solution for health plans, providers and government agencies.

Apixio is a data science company specializing in the analysis of clinical healthcare data and the use of AI to interpret information from various healthcare documents, including unstructured clinical notes. Their platform helps healthcare organizations accurately document and code patient conditions for accurate risk adjustment and reimbursement under value-based contracts. Apixio also aids in quality measure reporting and care gap identification based on healthcare programs.

ForeSee Medical employs AI and NLP to enhance risk adjustment in healthcare for improved HCC coding and RAF score optimization within EHR systems.