JSON twin: https://www.healthaidb.com/software/apixio.json
Apixio
https://www.apixio.com/platform/
Apixio is an AI-driven healthcare data and analytics platform that provides risk adjustment, payment integrity, health data management, and AI-as-a-service solutions primarily for health plans and provider organizations.
Apixio delivers AI-powered clinical insights and connected workflows to automate chart retrieval and review, improve retrospective and prospective risk capture, support payment integrity and utilization management, and unify health data for analytics and operational use. Solutions include digital chart retrieval, clinical chart review, coding & auditing, itemized bill review, provider portal, and interoperable platform services for payers, providers, and ACOs.
yes
2009
US-based hosting (primary)
P0124
2025-09-07
commercial/proprietary
Contact vendor for pricing, enterprise contracts and demos available.
enterprise_quote
2009
—
product
1.0
{
"company_name": "Apixio",
"company_url": "https://www.apixio.com/",
"company_offices": [
"United States"
],
"company_founding": "2009",
"product_url": "https://www.apixio.com/platform/",
"categories": [
"clinical",
"administrative",
"analytics",
"interoperability",
"risk adjustment",
"payment integrity",
"health data management",
"AI-as-a-Service"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.apixio.com/",
"https://www.apixio.com/platform/",
"https://www.apixio.com/risk-adjustment/",
"https://www.apixio.com/health-data-management/",
"https://www.apixio.com/healthcare-payment-integrity-solutions-and-services/",
"https://www.apixio.com/ai-as-a-service/",
"https://www.apixio.com/about-us/",
"https://www.apixio.com/press/",
"https://www.prnewswire.com/news-releases/apixio-launches-health-data-nexus-unifying-health-data-with-ai-powered-insights-for-the-enterprise-302088806.html",
"https://www.datavant.com/"
],
"summary": "Apixio is an AI-driven healthcare data and analytics platform that provides risk adjustment, payment integrity, health data management, and AI-as-a-service solutions primarily for health plans and provider organizations.",
"description": "Apixio delivers AI-powered clinical insights and connected workflows to automate chart retrieval and review, improve retrospective and prospective risk capture, support payment integrity and utilization management, and unify health data for analytics and operational use. Solutions include digital chart retrieval, clinical chart review, coding & auditing, itemized bill review, provider portal, and interoperable platform services for payers, providers, and ACOs.",
"target_users": [
"health plans",
"providers",
"ACOs",
"payers",
"clinicians",
"coding teams",
"clinical auditors",
"care managers",
"health IT/data engineers",
"administrative staff"
],
"specialties": [],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, enterprise contracts and demos available.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Chart identification/prioritization (AI-driven)",
"Digital and manual chart retrieval network",
"AI-powered coding predictions",
"Multi-level QA and certified coder review",
"Centralized searchable health data repository",
"Performance dashboards and peer benchmarking",
"Program analytics and ROI tracking",
"Configurable review workflows",
"Record linkage/tokenization across datasets",
"Release of Information / retrieval orchestration"
],
"optional_modules": [
"Health data retrieval services",
"HCC/risk-adjustment coding",
"HIM coding / audit services",
"Denial management",
"Revenue cycle optimization"
],
"integrations": [
"Epic",
"Cerner",
"Allscripts",
"Meditech",
"350+ health systems / major EHR platforms",
"Datavant Connect"
],
"data_standards": [
"FHIR",
"HL7 v2",
"ICD-10",
"SNOMED"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [
"Encryption at rest and in transit",
"Role-based access control (RBAC)",
"SSO/SAML",
"Audit logging",
"Multi-factor authentication (2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Tokenization / privacy-preserving record linkage",
"De-identification / data minimization"
],
"data_residency": "US-based hosting (primary)",
"customers": [
"Providence St. Joseph Health",
"HCSC (Health Care Service Corporation)",
"Aledade",
"Blue Cross Blue Shield of North Carolina",
"Sigma Health Plan",
"Magna Health Plan",
"Centene"
],
"user_reviews": [
"Our local BCBS is about to partner with Apixio to help with coding and clinical validation using their AI algorithms.",
"Team got cut by a third for AI — Apixio was named as the technology driving reductions in coding headcount.",
"Apixio claims that 60% of inpatient stays it reviews contain clinically invalid diagnoses — a figure cited in disputes over AI-driven denials.",
"Worked with Apixio for chart retrieval and HCC coding; the AI speeds chart targeting but provider outreach and retrieval still required manual effort.",
"AI-powered coding predictions were helpful, but integration with existing workflows and EHRs required substantial implementation support."
],
"ratings": [
"Glassdoor: 3.6/5 (employee reviews)",
"ITQlick: 5/5 (vendor profile summary)"
],
"support_channels": [
"email",
"phone",
"portal/ticketing",
"contact form"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onboarding services"
],
"release_year": "2009",
"integration_partners": [
"Vim",
"Epic (EHR)",
"Datavant",
"Major EHR platforms / integrations (general)",
"Health system connectivity partners (350+ health systems network)"
],
"id": "P0124",
"slug": "apixio",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/apixio.json"
}
}