Clinical Intelligence Solution
Patient insights at the point of care with diagnosis gap identification
Software · Cloud SaaSCompany source
Company profile
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.
Company description Reveleer official website
Primary marketHealthcare Operations & Administration
Commercial modelCommercial information available on request
Company presenceOfficial website
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01 · Operating footprint
Where the Company operates
Company-profile context for clinical focus, customers, deployment, integration, milestones, and partnerships.
Clinical focus
No clinical focus areas are currently listed.
Who it serves
- ACOs
- BCBS plans
- Health plans
- Medicare Advantage plans
- Payers
- Providers
Deployment & integration
Cloud Saas · Embedded deployment with recorded integration context.
Recorded integration context: CMS systems, EHR systems, HIE systems.
Geographic context
MarketsUnited States
Company sourceOfficial website
Company milestones
Platform expansion
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
Partnerships
Recorded partners
- Nationwide network of clinical data sources mentioned
02 · Flagship portfolio
Products, workflows, and platform capabilities
Selected source-backed Company products and the available commercial context.
EVE (Evidence Validation Engine)
Proprietary native AI assistant for clinical intelligence and coding validation
Software · EmbeddedCompany source
MA RADV Audit Solution
Streamlined Medicare Advantage RADV audit management from ingestion to CMS submission
Software · Cloud SaaSCompany source
Medical Record Retrieval Software
AI-enabled medical record collection and management at scale
Software · Cloud SaaSCompany source
Member Management Solution
Unified Medicare Advantage member lifecycle management solution
Software · Cloud SaaSCompany source
Quality Improvement Solution
Proactive care delivery with data-driven analytics for better STAR ratings
Software · Cloud SaaSCompany source
Reveleer Platform
AI-enabled end-to-end platform for value-based care workflows
Platform · Cloud SaaSCompany source
Risk Adjustment Solution
Maximize RAF accuracy and revenue transparency with AI-powered insights
Software · Cloud SaaSCompany source
03 · Research intelligence
Research Intelligence evidence
Publications, preprints, clinical validation, and regulatory records in Evidence Position order.
Evidence position
Publications, clinical validation, and regulatory records connected to this Company appear here.
Research
Publications & preprints
No linked records are currently available.
Clinical validation
Clinical-trial records
No linked records are currently available.
Regulatory
Regulatory records
No linked records are currently available.
04 · Company-reported outcomes
Outcomes and case studies
Company-reported outcomes and customer stories are distinct from linked Research Intelligence evidence.
50% more efficient medical record retrieval outreach
HEDIS program for health plan
3x increase in coding speed
Retrospective risk program for large BCBS customer
40% more value per chart
Retrospective risk program
90% automation of enrollment processes
Member management for health plan
95% automation of member correspondence
Member management
75% staff redeployment
Chart review automation for large BCBS customer
33% improvement in RAF accuracy
Risk adjustment for ACO customer
1,400 hours saved
Medical record retrieval
40% decrease in workload
Member enrollment automation
9-point reduction in inaccurate data
Revenue reconciliation (12% to 3% within a year)
75% fewer manual errors
Member management implementation
97% customer retention rate
Across 70+ health plan customers
ACO Customer
Risk Adjustment accuracy improvement
Improved RAF accuracy by 33%
Health Plan (Enrollment)
Member enrollment process automation
Automated more than 90% of enrollment processes, including 95% of member correspondence
Health Plan (HEDIS)
AI-enabled medical record retrieval for HEDIS
Saved 1,400 hours in medical record retrieval, making outreach 50% more efficient
Health Plan (Member Management)
Member data accuracy improvement
Reduced inaccurate member data from 12% to 3% within a year (9-point reduction)
Large BCBS Customer
Retrospective risk adjustment program optimization
Increased coding speed 3x and realized 40% more value per chart
Large BCBS Customer (Chart Review)
Enhanced automation for chart review operations
Able to redeploy 75% of their chart review staff thanks to enhanced automation
05 · Leadership
Leadership team
Leadership profiles and professional links from the current Company record.
No active leadership profiles are currently listed.
06 · Company updates
Updates from Reveleer
Recent articles published on Reveleer's official website.
The audit will tell you which AI was ready
Read on Reveleer3 challenges MA plans face under CMS's 2027 Star Ratings changes
Read on ReveleerA court ruling narrows the evidence base for Medicare Advantage Star Ratings
Read on ReveleerVBC contract growth is outpacing the operating model
Read on ReveleerDocumented evidence defines defensible ACO risk adjustment
Read on Reveleer07 · HAIC coverage
Coverage and analysis
Health AI Central reporting that mentions this Company.
No HAIC coverage is currently linked to this Company.
08 · Official presence
Company sources and channels
Curated official destinations from the active Company record.
09 · Market pathway
Additional Companies in this Market
Other active Companies in the same market, selected alphabetically from the HAIC directory.
Market context
Healthcare Operations & Administration
Companies using AI to optimize hospital operations, automate administrative workflows, improve scheduling, manage healthcare resources, coordinate care delivery, or reduce operational inefficiencies. Includes prior authorization automation, credentialing, billing, care coordination, and AI tools that help health systems run more efficiently.
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10 · Pro research
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Expanded Company research is in development.
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Deeper Company research is coming soon.
Pro Research will introduce expanded technical context, linked evidence analysis, and comparative Company research.
Linked research, clinical, and regulatory source pathways.
Expanded product, deployment, integration, and partnership research.
Record-level provenance and review context.