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MCheck™ Clinical

Unlocking the power of clinical data to deliver results

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Overview

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Approach

The MCheck™ platform uses advanced AI with integrated medical ontologies developed through years of training on healthcare data by industry experts to rapidly solve complex clinical data problems. Enhanced by LLM-driven NLP technology, MCheck™ seamlessly ingests clinical data in any format to meticulously standardize the data with state-of-art dynamic quality checks, ensuring fluid compatibility with your downstream systems.

Key use cases/solutions

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Ingestion

Our Ingestion module ensures format-agnostic data standardization, mitigating the risk of bad data entering your system. Whether dealing with various types of patient records or diverse source formats, MCheck™ seamlessly ingests files to consistently deliver health plan-specific output formats.

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What is the module?

Data transformation into health plan-specific schema and structure

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What problem does it solve?

Health plans see many types of patient records (Claims, Clinical Charts, supplemental data, Unstructured notes) in varying formats (HL7, CCDA, unstructured notes, flat files, & more) that demand error-prone laborious manual transformation

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Benefits achieved

MCheck™ Clinical provides intelligent automated clinical data management capabilities, ensuring standardized output with industry-leading accuracy and minimal Turnaround Time (TAT)

Data Quality

Our data quality module diligently conducts quantitative and qualitative analysis at every stage of the data transformation journey, guaranteeing that the output is enriched with valuable information and readily actionable.

Actionable Insights

Our insights module generates clinically sound and evidence-backed observations, enabling you to proactively address quality measures and risk scores.

Ingestion

use-case-img

What is the module?

Data transformation into health plan-specific schema and structure

use-case-img

What problem does it solve?

Health plans see many types of patient records (Claims, Clinical Charts, supplemental data, Unstructured notes) in varying formats (HL7, CCDA, unstructured notes, flat files, & more) that demand error-prone laborious manual transformation

use-case-img

Benefits achieved

MCheck™ Clinical provides intelligent automated clinical data management capabilities, ensuring standardized output with industry-leading accuracy and minimal Turnaround Time (TAT)

Features

Adaptive Intelligence
Rapid Deployment
Modular
Near Real-Time
Configurable

MCheck™ embraces a multi-pronged approach to data analysis incorporating machine learning, advanced LLMs, and medical ontologies to achieve an exceptional true positive rate and accuracy of over 95%. Our platform helps you with root-cause analysis and ensures the highest precision, boosting confidence in your decision-making processes.

Value for customers

    Operational cost savings

    Our platform provides automated provider onboarding and data interoperability with a 95% reduction in turn-around time for data validations.

    Increased STAR/HEDIS ratings

    Proactive and early identification of data and care gaps helps drive HEDIS/STAR ratings.

    Increased revenue

    MCheck™ Clinical derives AI/ML based insights by analyzing billions of healthcare records in less than 30 minutes to improve member outcomes, facilitate value-based care, and augment other clinical data reliant revenue drivers for any health plan.

    Reduced penalties

    MCheck™ Clinical helps plans predict data issues upfront and avoid hassles and reputational harm from potential penalty payments.

Try our solution today