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novillus.comPortland, Oregon, United States
Novillus provides AI-powered workflow and engagement solutions that help health plans collaborate with provider groups to improve outcomes and performance.
Novillus is a health‑tech company that enables health plans to collaborate with provider partners through digital solutions and omni‑channel engagement. It focuses on improving health plan performance and patient outcomes by streamlining payer–provider workflows, enabling high‑quality data exchange, and supporting quality and risk‑adjustment efforts across multiple lines of business. Its offerings emphasize provider engagement, data quality, and analytics to help health plans meet regulatory requirements, close care gaps, and optimize performance.
Mission statement
We make complex payer/provider workflows simple to use so you can do more with less, unlocking the full potential of your teams.
Products & Services
Care Gap Management Solution
Improves quality and risk management while enhancing provider engagement and operational efficiency.
novillus.com/care-gap-management- ✓ Engagement dashboards and reports — Monitor Provider Engagement
- ✓ Actionable gap display — Visualize Patient Care Gaps
- ✓ Gap closure dashboard — Track Gap Closure Progress
- ✓ Audit support — Simplify Audit Processes
- ✓ Exclusions handling — Accurate Exclusion Management
- ✓ Multichannel provider outreach — Enhance Provider Communication
- ✓ Satisfaction surveys — Collect Provider Feedback
Curate Solution
Streamlines chart review processes to enhance efficiency and accuracy in health plan operations.
novillus.com/ai-chart-review- ✓ Cross-gap coverage — Identify Multiple Gap Types
- ✓ Doubles chart review capacity — Expand Validator Capacity
- ✓ High accuracy — Ensure High Accuracy
- ✓ Unified chart review workflow — Automate Chart Review
- ✓ HIPAA-compliant AI — Utilize Compliant AI Solutions
- ✓ Exclusions handling — Accurate Exclusion Management
- ✓ Waste reduction — Minimize Review Waste
Clean Solution
Clean ensures perfect provider directory accuracy for health plans, enhancing compliance and customer satisfaction.
novillus.com/provider-data-accuracy- ✓ Continuous Data Verification — Guarantees Accurate Data
- ✓ Fully Managed Turnkey Solution — Ensures Hassle-Free Compliance
- ✓ Direct Provider Data Collection — Streamlines Data Acquisition
- ✓ Easy Integration — Simplifies System Integration
- ✓ Provider Experience and CSAT — Enhances Provider Satisfaction
- ✓ Provider Relationships Mapping — Maps Complex Relationships
Market Segments
Care gap management and provider engagement
Capabilities that engage provider groups and manage the care gap lifecycle through actionable gap lists, multichannel outreach, provider incentives, gap closure tracking, and audit support to improve program performance.
Provider directory accuracy and data management
Capabilities for continuously verifying and managing provider directory data, collecting provider-sourced details, mapping provider relationships, ensuring CMS compliance, and integrating clean data into directories.
Clinical chart abstraction and automation
Capabilities that automate first-level chart review and clinical abstraction with HIPAA-compliant AI to increase reviewer capacity, reduce unnecessary reviews, handle exclusions, and identify evidence across multiple gap types.
Quality measurement and risk adjustment
Capabilities that support HEDIS, Star ratings and risk-adjustment programs via supplemental data submission, audit support, exclusions handling, unified workflows across quality and risk gaps, and analytics to drive gap closure.
Common Questions
- What does Novillus do?
- Novillus is a health‑tech company that enables health plans to collaborate with provider partners through digital solutions and omni‑channel engagement. It focuses on improving health plan performance and patient outcomes by streamlining payer–provider workflows, enabling high‑quality data exchange, and supporting quality and risk‑adjustment efforts across multiple lines of business. Its offerings emphasize provider engagement, data quality, and analytics to help health plans meet regulatory requirements, close care gaps, and optimize performance.
- What is Novillus's role in the Care gap management and provider engagement market?
- Capabilities that engage provider groups and manage the care gap lifecycle through actionable gap lists, multichannel outreach, provider incentives, gap closure tracking, and audit support to improve program performance.
- What is Novillus's role in the Provider directory accuracy and data management market?
- Capabilities for continuously verifying and managing provider directory data, collecting provider-sourced details, mapping provider relationships, ensuring CMS compliance, and integrating clean data into directories.
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