Products

RAAPID
RAAPID
Legal, Compliance & Security
RAAPID provides a Neuro-Symbolic AI-powered risk adjustment platform for health plans and providers, optimizing value-based care through accurate and efficient HCC identification and audit defense.

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About RAAPID

RAAPID is a healthcare AI company specializing in risk adjustment solutions for value-based care. Their core offering is a Clinical AI Platform, powered by proprietary Neuro-Symbolic AI and Natural Language Processing (NLP), designed to provide transparent, evidence-backed audit trails for Hierarchical Condition Category (HCC) codes. This platform aims to maximize coding accuracy, enhance clinical decisions, and ensure compliance for health plans, health systems, providers, and technology partners.

The RAAPID platform offers a unified suite for the entire value-based care journey, encompassing prospective risk adjustment (patient prioritization, pre-visit planning, gap closure), retrospective risk adjustment (autonomous chart review, HCC identification, MEAT validation), and RADV audit solutions. It processes patient data from various sources, including unstructured clinical notes, using technologies like DocumentAI, Knowledge Graph, Machine Learning, and Deep Learning. RAAPID claims industry-leading performance with 92%+ out-of-the-box accuracy (rising to over 98% with final coder validation) and significant productivity gains (60-80%) for coding teams.

Focus Areas

AI-powered risk adjustment medical coding HCC coding NLP value-based care clinical decision support RADV audit solutions

Business Intelligence

TechnologyCloud-based SaaS, Neuro-Symbolic AI, Natural Language Processing (NLP), DocumentAI, Knowledge Graph, Machine Learning, Deep Learning, Azure-native architecture, API availability

What Physicians Need to Know

AI-Powered Risk Adjustment
RAAPID utilizes proprietary Neuro-Symbolic AI and Natural Language Processing (NLP) to provide a transparent, evidence-backed audit trail for every Hierarchical Condition Category (HCC) code. Their platform offers both prospective and retrospective risk adjustment solutions, aiming for 92%+ out-of-the-box coding accuracy, rising to over 98% with final coder validation. This includes identifying care gaps proactively, surfacing hidden HCC opportunities, and prioritizing high-risk members.
Medical & HCC Coding
The company specializes in streamlining HCC coding complexities through advanced algorithms and data analytics. Their AI engine processes unstructured clinical data through specialized models, including a clinical language model for physician notes and a medical knowledge model for mapping conditions to HCC codes, achieving 98% accuracy in code suggestions. They offer solutions for HCC capture, chart review, and chart auditing.
Natural Language Processing (NLP)
RAAPID's core technology is built on knowledge graph-infused NLP, which understands complex medical concepts beyond simple keyword matching. This allows them to analyze physician notes and other unstructured clinical data to identify relevant ICD codes and HCCs.
Value-Based Care
RAAPID offers a unified platform for the entire value-based care journey, optimizing the care continuum from pre-visit planning through post-visit HCC coding validation. Their solutions aim to improve risk capture and RAF accuracy, leading to better patient stratification and improved care quality.
Clinical Decision Support
The platform provides real-time coding support during patient visits, offering immediate suggestions and quality checks without disrupting physician workflows. Their prospective pre-visit solution analyzes historical patient data to identify potential HCC codes and documentation gaps before visits.
RADV Audit Solutions
RAAPID provides RADV audit AI solutions that run MEAT (Monitoring, Evaluation, Assessment, and Treatment) evidence-first checks, generate export files, and manage responses with clear audit trails for extrapolation protection. Every code comes with traceable MEAT evidence, reducing RADV extrapolation exposure and rework.
Physician Tip

RAAPID's solutions are designed to significantly reduce administrative burden and improve documentation accuracy for physicians. The EHR-agnostic platform provides real-time coding suggestions and quality checks during patient visits, minimizing workflow disruption. Physicians receive actionable insights about patient conditions before visits, enabling more effective encounters and accurate documentation from the start. This proactive approach, coupled with automated quality checks and evidence-backed code justification, helps physicians focus more on patient care while ensuring accurate risk adjustment and reimbursement.

RAAPID's platform is designed with an API-first architecture, allowing for seamless integration with major Electronic Health Record (EHR) systems. They utilize various protocols like FHIR, HL7, or CCDA to pull data from EHRs and transform it into the universal FHIR standard. This ensures real-time data processing and access to accurate patient data, without requiring a complete system replacement.

Products by RAAPID

1 product in the directory

RAAPID
RAAPID
Legal, Compliance & Security
RAAPID provides a Neuro-Symbolic AI-powered risk adjustment platform for health plans and providers, optimizing value-based care through accurate and efficient HCC identification and audit defense.

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Press & Coverage

Business Wire
RAAPID Secures Series-A Extension from UPMC Enterprises
RAAPID, an AI-powered risk adjustment company, announced an additional Series-A investment from UPMC Enterprises, joining M12 (Microsoft's venture fund) in backing RAAPID's compliance-first Clinical AI Platform. This funding will accelerate the expansion of RAAPID's platform for Medicare Advantage risk adjustment and medical coding.
2026-03
Business Wire
RAAPID Featured In a KLAS Emerging Company Spotlight Report for Defensible Coding & Audit-Ready Retrospective Risk Adjustment
RAAPID was featured in a May 2026 KLAS Emerging Company Spotlight report, receiving an A+ 'would-buy-again' grade from customers for its AI accuracy and audit defense in retrospective risk adjustment. The report highlights the platform's audit defensibility, AI accuracy, and partnership quality.
2026-06
Healthworx
RAAPID Completes Strategic Industry Trifecta
RAAPID announced a strategic investment from Healthworx, the investment arm of CareFirst, Inc., completing an 'Industry Trifecta' with existing backers M12 (Microsoft's Venture Fund) and UPMC Enterprises. This signifies a market shift towards 'Audit-First' AI as CMS increases scrutiny on Medicare Advantage.
unknown
Microsoft Bay Area Blog
From black box to u201cglass boxu201d: How RAAPID is bringing explainable AI to healthcare risk adjustment
This article highlights how RAAPID's Neuro-Symbolic AI platform provides transparent and explainable AI for healthcare risk adjustment, moving from 'black box' to 'glass box' solutions. The platform links each diagnosis to supporting clinical documentation, crucial for audits and regulatory scrutiny.
2026-07
PR Newswire
RAAPID Earns Microsoft Healthcare AI Certification, Strengthening Enterprise-Grade Risk Adjustment Solutions
RAAPID Inc. achieved the Microsoft Healthcare AI Certified Software designation, validating its Neuro-Symbolic AI platform against Microsoft's standards for clinical relevance, data privacy, and responsible AI in healthcare. This certification reinforces RAAPID's enterprise-grade security and integration capabilities with Azure.
2025-10
PR Newswire
RAAPID Raises Series A from M12, Microsoft's Venture Fund to Scale Next-Generation Healthcare Risk Adjustment
RAAPID announced a significant Series A investment from M12, Microsoft's venture fund, to scale its next-generation healthcare risk adjustment solutions. This funding aims to advance RAAPID's AI-powered platform for improved accuracy and efficiency in healthcare.
2025-01
Becker's Hospital Review
UPMC, Microsoft invest in AI medical coding startup
UPMC Enterprises has invested in RAAPID's Series A funding round, an AI startup focused on risk adjustment and medical coding, also backed by Microsoft venture fund M12. RAAPID's AI platform links diagnoses to clinical evidence and generates audit-ready documentation.
2026-03
PR Newswire
RAAPID INC Achieves HITRUST i1 Certification to Manage Data Protection and Mitigate Cybersecurity Threats
RAAPID INC announced it has achieved HITRUST i1 Certification, demonstrating its commitment to data protection and mitigating cybersecurity threats. This certification reinforces the company's dedication to maintaining high standards of data security and regulatory compliance.
2024-09

Frequently Asked Questions

RAAPID's platform leverages advanced AI and NLP to automate the extraction of relevant clinical information from patient records, identifying Hierarchical Condition Categories (HCCs) with greater precision and reducing manual review time. This leads to more accurate risk scores, optimized reimbursement, and improved compliance with risk adjustment guidelines.
RAAPID provides robust audit trails, transparent AI reasoning, and comprehensive documentation capabilities to support RADV audit preparedness. The platform helps identify potential coding gaps and over-coding risks, ensuring that submitted data is accurate, defensible, and compliant with regulatory requirements.
RAAPID's platform is designed for seamless integration with most major EHR systems, utilizing standard APIs and data exchange protocols. We offer comprehensive implementation support, including data mapping and user training, along with ongoing technical assistance and dedicated account management to ensure smooth operation and maximize value.
RAAPID's pricing is typically based on factors such as patient volume, modules utilized, and the scope of services. Clients often see a significant ROI through improved HCC capture rates, reduced coding errors, optimized reimbursement, and decreased administrative costs associated with manual review and audit preparation.
RAAPID's insights extend beyond risk adjustment by providing a more complete picture of patient health, which can inform care coordination and population health management strategies. While primarily focused on coding, the accurate data it generates can indirectly support clinical decision-making by highlighting chronic conditions and care gaps.
RAAPID actively seeks partnerships with other healthcare technology providers, consulting firms, and industry organizations to expand its ecosystem and offer integrated solutions. These collaborations aim to provide more comprehensive services, from data analytics to broader value-based care consulting.
RAAPID is a privately held company with a strong focus on innovation in healthcare AI. We are committed to long-term growth and stability, continuously investing in product development and customer support to ensure our clients have a reliable and evolving solution for their risk adjustment and coding needs.

Investors

Who's funded RAAPID.

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