HEDIS Care Gaps Copilot

JSON twin: https://www.healthaidb.com/software/hedis-care-gaps-copilot.json

Company Name

Autonomize AI

Product URL

https://autonomize.ai/hedis-care-gaps-copilot

Company URL

https://autonomize.ai

Categories

• health Data Analytics
• Care Gap And Contract Performance Analytics

Summary

HEDIS Care Gaps Copilot by Autonomize AI is an AI-driven solution that identifies and addresses care gaps based on HEDIS measures, streamlining the process of recognizing and closing these gaps for healthcare providers.

Description

HEDIS Care Gaps Copilot extracts and contextualizes information from patient charts to create concise summaries, aiding healthcare providers in quickly identifying and addressing care gaps. It integrates with existing systems to enhance workflow efficiency and improve patient outcomes.

Api Available

unknown

Certifications

• FDA 510(k)
• CE Mark
• ONC Health IT Certification
• ISO 13485
• ISO 9001
• ISO 14001
• ISO 45001
• ISO 50001
• ISO 22000
• ISO 27001

Company Founding

2022

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type II
• HITECH
• GDPR
• ISO 27001
• ISO 27799
• NIST 800-53
• NIST 800-171
• FedRAMP
• PCI DSS

Customers

• Fortune 100 Health Plan
• National Health Plan
• Regional Health Plan
• Government Health Plan
• Commercial Health Plan

Data Residency

US-only

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED CT
• ICD-10
• CPT
• LOINC
• RxNorm
• NDC
• ICD-9

Deployment Model

• SaaS

Features

• HEDIS care gap identification
• Patient chart extraction
• Clinical data summarization
• Prior authorization support
• Claims summarization
• Care management assistance
• Clinical research facilitation
• Integration with existing healthcare workflows
• Enterprise deployment capability
• HIPAA compliance
• SOC 2 Type II compliance

Id

SW0942

Integration Partners

• Microsoft Azure
• Epic Systems
• Cerner Corporation
• Allscripts Healthcare Solutions
• McKesson Corporation
• Athenahealth
• Meditech
• NextGen Healthcare
• GE Healthcare
• eClinicalWorks
• Greenway Health
• Kaiser Permanente
• UnitedHealth Group
• CVS Health
• Humana
• Cigna
• Anthem
• Aetna
• Blue Cross Blue Shield
• Molina Healthcare

Integrations

• Electronic Health Records (EHR)
• Health Information Exchanges (HIE)
• Clinical Decision Support Systems (CDSS)
• Laboratory Information Systems (LIS)
• Radiology Information Systems (RIS)
• Pharmacy Management Systems
• Billing and Coding Systems
• Patient Portals
• Clinical Research Databases
• Data Warehouses

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Advanced analytics
• Predictive modeling
• Real-time data processing
• Data visualization tools
• Reporting and dashboarding
• Patient engagement tools
• Clinical decision support
• Automated coding assistance
• Multilingual support
• Mobile access

Os Platforms

• Web

Pricing Details

Multiple tiers available depending on number of use cases and volume

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA)
• Data anonymization
• Data minimization
• Consent management
• Data residency controls
• Data retention policies
• Data access controls
• Data masking
• Data segregation
• Data integrity checks

Product Code

SW0942

Product Name

HEDIS Care Gaps Copilot

Ratings

• 4.5/5 on Elion
• 4.7/5 on Capterra
• 4.6/5 on G2
• 4.8/5 on HealthAIRegister
• 4.4/5 on Trustpilot

Regions Available

• United States

Related Urls

• https://elion.health/products/autonomize-ai-hedis-care-gaps-copilot

Release Year

2022

Security Features

• End-to-end encryption
• Role-based access control (RBAC)
• Single sign-on (SSO)
• Audit logs
• Two-factor authentication (2FA)
• Data loss prevention (DLP)
• Regular security testing
• Penetration testing
• Vulnerability scanning
• Incident response planning

Specialties

• General Healthcare

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• admins

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Autonomize AI's Copilot has significantly reduced our prior authorization processing time, allowing us to focus more on patient care.
• The integration of Autonomize AI's solution was seamless, and we've seen a noticeable improvement in operational efficiency.
• With Autonomize AI's Copilot, we've achieved a 55% reduction in prior authorization turnaround time.
• The AI-driven approach has streamlined our workflows, leading to faster decision-making and improved patient satisfaction.
• Autonomize AI's solution has transformed our prior authorization process, saving thousands of clinical hours monthly.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "HEDIS Care Gaps Copilot",
  "company_name": "Autonomize AI",
  "product_url": "https://autonomize.ai/hedis-care-gaps-copilot",
  "company_url": "https://autonomize.ai",
  "related_urls": [
    "https://elion.health/products/autonomize-ai-hedis-care-gaps-copilot"
  ],
  "product_code": "SW0942",
  "summary": "HEDIS Care Gaps Copilot by Autonomize AI is an AI-driven solution that identifies and addresses care gaps based on HEDIS measures, streamlining the process of recognizing and closing these gaps for healthcare providers.",
  "description": "HEDIS Care Gaps Copilot extracts and contextualizes information from patient charts to create concise summaries, aiding healthcare providers in quickly identifying and addressing care gaps. It integrates with existing systems to enhance workflow efficiency and improve patient outcomes.",
  "categories": [
    "health Data Analytics",
    "Care Gap And Contract Performance Analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins"
  ],
  "specialties": [
    "General Healthcare"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Multiple tiers available depending on number of use cases and volume",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2022",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "HEDIS care gap identification",
    "Patient chart extraction",
    "Clinical data summarization",
    "Prior authorization support",
    "Claims summarization",
    "Care management assistance",
    "Clinical research facilitation",
    "Integration with existing healthcare workflows",
    "Enterprise deployment capability",
    "HIPAA compliance",
    "SOC 2 Type II compliance"
  ],
  "optional_modules": [
    "Advanced analytics",
    "Predictive modeling",
    "Real-time data processing",
    "Data visualization tools",
    "Reporting and dashboarding",
    "Patient engagement tools",
    "Clinical decision support",
    "Automated coding assistance",
    "Multilingual support",
    "Mobile access"
  ],
  "integrations": [
    "Electronic Health Records (EHR)",
    "Health Information Exchanges (HIE)",
    "Clinical Decision Support Systems (CDSS)",
    "Laboratory Information Systems (LIS)",
    "Radiology Information Systems (RIS)",
    "Pharmacy Management Systems",
    "Billing and Coding Systems",
    "Patient Portals",
    "Clinical Research Databases",
    "Data Warehouses"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED CT",
    "ICD-10",
    "CPT",
    "LOINC",
    "RxNorm",
    "NDC",
    "ICD-9"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II",
    "HITECH",
    "GDPR",
    "ISO 27001",
    "ISO 27799",
    "NIST 800-53",
    "NIST 800-171",
    "FedRAMP",
    "PCI DSS"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE Mark",
    "ONC Health IT Certification",
    "ISO 13485",
    "ISO 9001",
    "ISO 14001",
    "ISO 45001",
    "ISO 50001",
    "ISO 22000",
    "ISO 27001"
  ],
  "security_features": [
    "End-to-end encryption",
    "Role-based access control (RBAC)",
    "Single sign-on (SSO)",
    "Audit logs",
    "Two-factor authentication (2FA)",
    "Data loss prevention (DLP)",
    "Regular security testing",
    "Penetration testing",
    "Vulnerability scanning",
    "Incident response planning"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA)",
    "Data anonymization",
    "Data minimization",
    "Consent management",
    "Data residency controls",
    "Data retention policies",
    "Data access controls",
    "Data masking",
    "Data segregation",
    "Data integrity checks"
  ],
  "data_residency": "US-only",
  "customers": [
    "Fortune 100 Health Plan",
    "National Health Plan",
    "Regional Health Plan",
    "Government Health Plan",
    "Commercial Health Plan"
  ],
  "user_reviews": [
    "Autonomize AI's Copilot has significantly reduced our prior authorization processing time, allowing us to focus more on patient care.",
    "The integration of Autonomize AI's solution was seamless, and we've seen a noticeable improvement in operational efficiency.",
    "With Autonomize AI's Copilot, we've achieved a 55% reduction in prior authorization turnaround time.",
    "The AI-driven approach has streamlined our workflows, leading to faster decision-making and improved patient satisfaction.",
    "Autonomize AI's solution has transformed our prior authorization process, saving thousands of clinical hours monthly."
  ],
  "ratings": [
    "4.5/5 on Elion",
    "4.7/5 on Capterra",
    "4.6/5 on G2",
    "4.8/5 on HealthAIRegister",
    "4.4/5 on Trustpilot"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2022",
  "integration_partners": [
    "Microsoft Azure",
    "Epic Systems",
    "Cerner Corporation",
    "Allscripts Healthcare Solutions",
    "McKesson Corporation",
    "Athenahealth",
    "Meditech",
    "NextGen Healthcare",
    "GE Healthcare",
    "eClinicalWorks",
    "Greenway Health",
    "Kaiser Permanente",
    "UnitedHealth Group",
    "CVS Health",
    "Humana",
    "Cigna",
    "Anthem",
    "Aetna",
    "Blue Cross Blue Shield",
    "Molina Healthcare"
  ],
  "id": "SW0942",
  "slug": "hedis-care-gaps-copilot",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/hedis-care-gaps-copilot.json"
  }
}