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Reveleer provides a digital health platform for medical record retrieval and review, helping healthcare organizations manage large volumes of records. The platform is scalable and offers real-time reporting and full visibility into the workflow. Clients can use the software for end-to-end review or opt for Reveleer’s end-to-end services to handle the process. The goal is to help healthcare organizations improve program outcomes and scale their review processes with flexible in-house or outsourced options.
Industries
Data & Analytics
Enterprise Software
Healthcare
Company Size
201-500
Company Stage
Late Stage VC
Total Funding
$187.9M
Headquarters
Glendale, California
Founded
2009
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Total Funding
$187.9M
Meets
Industry Average
Funded Over
8 Rounds
Health Insurance
Dental Insurance
Vision Insurance
401(k) Company Match
Unlimited Paid Time Off
Reveleer has launched Clinical Data Repository, a centralised AI-enabled clinical data management solution that helps health plans store and reuse medical records across risk adjustment, quality reporting, audit response and care management programmes. The platform addresses the issue of health plans retrieving the same records an average of 2.5 times annually for different purposes. The repository ingests unstructured medical record documents and enriches them with metadata through Reveleer's EVE AI workflows, enabling health plans to retrieve records once and reuse them across their enterprise. This approach can reduce retrieval effort by 30–60% whilst improving provider experience and reducing costs. Built on a HITRUST-certified foundation, the solution supports HIPAA compliance and serves over 55 health plans, processing over 1.2 billion pages of clinical data annually.
Reveleer introduces Clinical Data Repository to establish a unified, ai-enriched member-level clinical record across health plan enterprise operations. April 7, 2026 New solution provides a single AI-enabled centralized clinical data repository to enable reusable risk adjustment, quality performance, audit response, and care management documentation. Los Angeles, CA - April 7, 2026 - Reveleer, a leading provider of AI-enabled solutions empowering data-driven health plan performance, today announced the launch of Clinical Data Repository, a centralized, AI-enabled clinical data management solution designed to help health plans reliably store and reuse medical records across risk adjustment, quality reporting, audit response, and care management programs. Through managing, reading, and processing over 1.2B pages of clinical data annually on behalf of over 55 health plans, Reveleer has seen that payors are operating under increasing scrutiny tied to coding accuracy, measure performance, and audit requirements across Medicare Advantage and other value-based programs. Health plans pull the same record multiple times - once for risk adjustment, again for a quality gap, again for an audit. Reveleer Clinical Data Repository simplifies that equation enabling plans to pull the record once, enrich it with AI, and enable it for use across the enterprise so every team works from the same documentation. The result: Less retrieval cost. Less provider friction. Consistently focused on accuracy over duplication. It is estimated that health plans retrieve the same records an average of 2.5 times each year. By retrieving medical records once and reusing them across risk, quality, and audit programs, health plans can eliminate hundreds of thousands of hours of redundant retrieval work annually - often reducing retrieval effort by 30-60% while shortening program timelines and improving provider experience. Clinical Data Repository addresses these challenges by establishing a reusable member-level clinical record as a foundational data layer. Clinical Data Repository ingests and manages unstructured medical record documents and enriches them with metadata generated through EVE(TM) AI-enabled workflows to support searchability, completeness, and use across risk, quality, and audit workflows. Risk adjustment, quality, and audit teams work from a consistent set of clinical documentation, reducing duplicate retrieval and supporting coordinated execution. "Health plans are being asked to support increasingly complex reporting and audit requirements, often without a unified clinical data foundation," said Jay Ackerman, CEO of Reveleer. "Clinical Data Repository provides a reusable clinical record at the member level, allowing organizations to reduce duplicate retrieval, coordinate across teams, and submit with a more complete clinical record. As health plans face heightened scrutiny across every major program, having one trusted member-level record is no longer a convenience, it is a strategic imperative." Clinical Data Repository provides a reusable clinical record at the member level, allowing organizations to reduce duplicate retrieval, coordinate across teams, and submit with a more complete clinical record. As health plans face heightened scrutiny across every major program, having one trusted member-level record is no longer a convenience, it is a strategic imperative." [-Jay Ackerman, President and CEO, Reveleer] The imperative to reconcile clinical data consistently across internal reporting, regulatory submissions, and audit review has never been greater. Misalignment between coding, submission, and audit documentation creates exposure throughout the review cycle. Clinical Data Repository enables organizations to maintain a longitudinal, consolidated member record that persists across review cycles and submission periods, providing a defensible documentation history when plans are asked to demonstrate the evidentiary basis for their coding and quality submissions over multiple years. A single member-level clinical record supports HCC coding, Stars and HEDIS performance, RADV audit response, and care management coordination, grounding each function in the same underlying documentation and enabling each program to operate with greater consistency, efficiency, and confidence. Charts from multiple sources can be consolidated into a unified environment, indexed and searched in a consistent format, and made available for coding decisions, measure support, and audit preparation with a level of accessibility and reliability that fragmented, function-specific retrieval processes cannot achieve. Built on a HITRUST-certified foundation and designed to support customers' HIPAA compliance needs, Clinical Data Repository incorporates governance controls including audit traceability and role-based access, providing organizations with the security, accountability, and regulatory integrity their programs require. Risk adjustment, quality, and audit functions can move from repeated, episodic retrieval cycles toward a model of continuous documentation reuse to strengthen data consistency in reporting, accelerating audit response timelines, and enabling teams to focus on outcomes rather than operational overhead. About reveleer. Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence. Media contact. Tier One Partners - Reveleer [email protected]
Reveleer has launched EVE Hybrid AI, a diagnosis suspecting engine built on Google Cloud, including Gemini and Vertex AI. The system combines generative AI-based evidence extraction with clinician-authored clinical formulas to deliver precise, explainable diagnosis suspects whilst maintaining human oversight. The platform processes over 2.1 million clinical charts daily, supporting more than 15,000 patients and achieving three times noise reduction compared to legacy approaches. It features over 3,300 deterministic clinical rules and creates audit-ready evidence trails linking suspects to source documentation. Built on Google Cloud's infrastructure, EVE Hybrid AI extracts evidence from diverse formats including PDFs, claims and FHIR files. The system is designed for prospective risk adjustment, quality gap closure and retrospective audits. The solution is now available to healthcare organisations managing value-based care programmes.
Reveleer launches industry's first all-in-one RADV Audit SaaS Solution for Medicare Advantage compliance. Los Angeles, CA - October 15, 2025 - Reveleer today announced the launch of its comprehensive RADV Audit SaaS Solution. Developed for Medicare Advantage plans managing complex CMS RADV audits, the new technology is part of their risk adjustment suite and serves as the market's first fully unified solution from retrieval to submission. The all-in-one solution brings together automated enrollee data management, multi-year retrieval and risk coding, automated provider attestation pursuits, pre-built submission packages, and real-time project reporting into a single, defensible workflow for audit readiness across every contract and year. Co-developed with some of the nation's leading Medicare Advantage organizations, the solution reflects real-world operational insights and health plan feedback at every stage. Medicare Advantage organizations are confronting expanded member samples, years-long historical lookbacks, compressed submission timelines, and greater financial exposure due to error extrapolation. These rigorous demands call for technology that delivers reliability, defensibility, and operational scale - not manual effort or fragmented tooling. Reveleer's unified solution is designed to reduce operational burden, increase coding accuracy, and improve audit transparency from intake through submission, so teams can move faster and while supporting compliance obligations. "RADV audits are no longer a back-office burden; they're a strategic risk and compliance priority. Health plans need more than tools; they need a solution built with their real-world complexity in mind," said Paul Burke, Chief Product Officer at Reveleer. "That's why we developed this solution based on the needs and feedback of health plans, giving payers full control and defensible coding accuracy for audit readiness across every year and contract. This is automation informed by payer experience and shaped by payer priorities." Reveleer's RADV Audit SaaS Solution hosts core capabilities to ensure consistent, scalable execution, even under tight CMS deadlines, including: * Automated CMS enrollee data ingestion, crosswalks, and reconciliation for member cohorts and historical records - even when sourced from prior vendors or archives. * End-to-end workflows for retrieval, coding, quality assurance, and submission packaging across multiple payment years and models, enabling consistent execution at scale with tight deadlines. * AI-enabled coding and evidence validation with EVE(TM), Reveleer's AI engine, which supports dynamic validation, confidence scoring, and multi-level QA. * Built-in adaptability for evolving HCC models and regulatory frameworks to maintain audit readiness... The platform also includes a provider attestation workflow to streamline documentation collection and reduce administrative friction, with automated outreach, document management, and status reporting. Health plan leaders and administrators benefit from interactive, real-time dashboards with drilldowns insights into progress and gaps, QA tracking and collaboration to keep projects on track and on time. Reveleer gained insights from leading Medicare Advantage organizations to shape its RADV Audit SaaS solution around real-world challenges. From multi-year contract complexity to provider engagement and audit traceability, the platform reflects deep collaboration with payers on the front lines of compliance. Unlike services-heavy approaches, Reveleer's new solution unifies the entire RADV process under a technology-first model. By eliminating silos and manual dependencies, health plans can: * Promote audit readiness with consistent, auditable workflows * Reduce risk of extrapolated recoupments * Meet deadlines with confidence * Maintain transparency across audit years and contracts As CMS guidance and audit protocols continue to evolve, Reveleer's RADV Audit SaaS Solution is able to adapt, giving payers the agility and insight needed to maintain agility and oversight for operational success. Organizations can deploy the solution as self-service, managed, or in a hybrid model to match internal capacity and timelines while maintaining control and audit traceability. The RADV Audit solution is available now. To learn more, visit here. About Reveleer As the industry's pioneering value-based care (VBC) technology platform, Reveleer helps solve the most pressing real-world challenges faced by providers and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment, quality improvement, and member management solutions into one intelligent, AI-powered system, Reveleer streamlines fragmented workflows to supercharge productivity, enhance care quality, and optimize performance on high-priority value-based initiatives. Media Contact: Tier One Partners for Reveleer [email protected]
/PRNewswire/ -- Reveleer, the leading value-based care technology platform, today announced the acquisition of Novillus, a provider of insight-driven care gap...
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Industries
Data & Analytics
Enterprise Software
Healthcare
Company Size
201-500
Company Stage
Late Stage VC
Total Funding
$187.9M
Headquarters
Glendale, California
Founded
2009
Find jobs on Simplify and start your career today