Digital Data Acquisition and Management for the 21st Century

We provide the tools and patient data to drive performance across your health plan

It all starts with the right data.

We are evolving clinical data exchange for you, your provider network, and members to ensure successful collaboration while maintaining regulatory compliance.

Clinical Data Clearing House

CMS Interoperability Rule Compliance

Care Management

Risk Adjustment

Quality Management

Clinical Data Clearing House

Not all data is created equal. We fully integrate with the EMR to ensure the data you receive can be used for payment and operations, risk adjustment, and HEDIS. The process is completely secure, entirely digital, automatic, HIPAA-compliant, and SOC 2 Type 2 certified.

Oh, and did we mention our match rate of more than 98%?

No more logins, printing, faxing, scanning, or back and forth. Our technology finds your member the first time.

CMS Interoperability Rule Compliance

The new 21st Century Cures CMS Rule requires health plans to share standardized clinical and administrative data with third-party applications as authorized by members, among other requirements.

We’ve determined the nuances of compliance and how this work can be extended to serve other areas of your business including provider data exchange, quality, and risk adjustment.

Our API platform and expert technical and regulatory services enable you to maintain compliance and leverage broader strategic opportunities.

Care Management

Better patient data means better patient care. Use the data and information provided by your health systems or vendors to analyze trends. Share those trends with your providers directly in their EMR workflow, where they can be acted on. No more external portals or workflow disruptions.

You get fast and accurate data. Patients benefit from improved care. Providers love you for making it easy.

Risk Adjustment

Chronic conditions–by definition –require long-term evaluation and management. However, after just one year, coding drops by 84% on average. If this is happening with your population, you’re missing millions in risk adjustment revenue.

Moxe fixes that by automatically sending the insights you generate about open gaps in documents directly to your clinicians so they can act on them at the point of care.

This yields accurate and optimized risk scores, complete CMS documentation, and reduced provider burden.

Quality Management

Collaboration with your health systems is essential when it comes to maximizing quality and HEDIS scores. We make that simple by sharing any identified gaps in services or missing documentation directly to your network so they can act on this information.

We’re embedded in the EMR so we leverage data that’s already present all while minimizing effort from clinicians.

Simply put, more gaps closed, faster.

We have much more to offer:

Partner with us.

Health System

We’ll focus on data exchange, so you can focus on patient care.

Join our network

Technology & Services

Health systems and plans love us for streamlining operations.

Find out why

Schedule a Demo

Start connecting with millions of patients, health systems, and health plans.