Reveleer

Reveleer

Healthcare Operations & Administration

About Reveleer

Reveleer is a healthcare technology company that has pioneered value-based care enablement solutions since the early days of the Affordable Care Act, bringing over 15 years of innovation to the industry. The company's unified AI-enabled platform consolidates critical workflows across risk adjustment, quality improvement, and member management into a single end-to-end solution. Reveleer's proprietary AI assistant, EVE™ (Evidence Validation Engine), automates time-consuming tasks and filters clinical data to help organizations focus on high-value opportunities. The platform processes over 400 million patient records annually, improving care for more than 66 million covered lives across 70+ health plan customers nationwide. Reveleer serves Medicare Advantage plans, commercial payers, providers, and ACOs with solutions spanning prospective and retrospective risk adjustment, HEDIS audits, care gap management, MA RADV audits, medical record retrieval, and member enrollment. The company's technology handles both structured and unstructured data from diverse sources, integrating bi-directionally with HIEs and EHR systems to deliver clinical intelligence at the point of care. With a 97% customer retention rate, Reveleer helps organizations streamline operations, improve patient outcomes, enhance Star Ratings, maximize RAF accuracy, and ensure CMS compliance in an evolving regulatory environment.

Mission & Story

Mission

Fulfilling the promise of value-based healthcare

Founding Story

Reveleer's experience and insights stretch back to the earliest days of the Affordable Care Act, pioneering the category of value-based care enablement.

Who It Serves

Medicare Advantage plansHealth plansPayersProvidersACOsBCBS plans

Milestones & Awards

Recent Milestones

Platform built to address upcoming CCMI deadline requiring all Medicare beneficiaries to shift to value-based care by 2030; adapted for HCC Model V24 to V28 transition; CMS initiating 4 payment years by end of 2026

Key Partnerships

Nationwide network of clinical data sources mentioned

Company Details

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Security & Compliance

HIPAA
Last updated Jul 1, 2026

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