Inferscience’s AI tools integrate with provider workflows to give health plans real-time access to accurate risk and quality data — improving care, cutting costs, and ensuring compliance.
Our platform flags missed diagnoses, CMS-rejected codes, and recapture opportunities. It delivers real-time RAF scores and actionable insights through intuitive dashboards.
Built-in patient outreach and care-gap tools help payers capture risk reimbursement, boost STAR ratings, reduce audit exposure, and elevate overall care quality.
Optimal Risk Performance
Gain greater control over risk programs with precise, real-time data that enhances risk accuracy and supports program success.
Increased STAR Ratings
Drive higher STAR ratings by surfacing open care gaps in real-time with no lag, leading to improved quality scores and better member outcomes.
Concurrent and Retroactive HCC Validation
Ensure complete and accurate risk capture by validating HCCs both in real time and retrospectively. Our solution supports compliance, reduces missed codes, and helps optimize RAF scores across the care continuum.
Seamless Interoperability
Effortlessly integrate with any EHR to streamline data exchange, giving health plans direct access to critical risk insights without disruptions.
Improved Provider Engagement
Ensure providers take action on risk gaps with embedded, point-of-care insights—helping health plans achieve stronger program performance and compliance.
Inferscience’s powerful AI works in real-time to ensure precise risk capture at the point of care, leading to more accurate RAF scores and improved risk program outcomes.
Maintain compliance and minimize audit risk with built-in concurrent and retrospective HCC validation, ensuring complete and accurate risk adjustment documentation while supporting timely quality reporting and program integrity.
