# Reveleer **Source:** https://geo.sig.ai/brands/reveleer **Vertical:** Healthcare Revenue Cycle & Health IT **Subcategory:** Risk Adjustment & Quality Management **Tier:** Challenger **Website:** reveleer.com **Last Updated:** 2026-04-14 ## Summary AI-powered risk adjustment, quality management, and HEDIS analytics for health plans and ACOs; raised $60M+. Glendale CA; serves Medicare Advantage, Medicaid Managed Care, and ACA Marketplace with NLP-driven document ingestion and chase workflow automation for risk capture. ## Company Overview Reveleer is a health IT company that provides AI-powered solutions for risk adjustment, quality management, and care gap closure to health plans, ACOs, and provider organizations. Founded in 2014 and headquartered in Glendale, California, Reveleer has raised more than $60 million in growth capital. Its platform combines intelligent document ingestion, natural language processing, and workflow automation to help payers accurately capture risk and close quality gaps at scale, supporting programs like Medicare Advantage, Medicaid Managed Care, and ACA Marketplace.\n\nThe company's core capabilities include automated medical record retrieval, AI-assisted HCC coding review, HEDIS measure tracking, and clinical analytics that surface actionable insights across member populations. Reveleer's platform is designed to serve the full risk adjustment lifecycle from retrospective chart review through prospective care coordination, enabling health plans to improve risk accuracy while simultaneously identifying members who need targeted outreach for quality improvement.\n\nReveleer competes in a market increasingly defined by the financial importance of accurate risk scoring in value-based care contracts. The company has expanded its technology to include an integrated analytics layer that connects risk adjustment and quality data, helping health plans understand the intersection between clinical gaps and revenue impact. Its cloud-native architecture and configurable workflow engine make it adaptable to the specific program requirements of national and regional health plans. ## Frequently Asked Questions ### What programs does Reveleer's platform support? Reveleer supports Medicare Advantage risk adjustment, Medicaid Managed Care quality programs, ACA Marketplace risk adjustment, and HEDIS measurement across commercial and government health plan lines of business. ### How does Reveleer use AI in risk adjustment? Reveleer uses NLP and machine learning to automatically abstract diagnoses and HCC codes from medical records, flag discrepancies, prioritize charts for human review, and identify prospective care gaps, dramatically reducing the manual effort of risk adjustment programs. ### Can Reveleer integrate with health plan data systems? Yes, Reveleer is built for enterprise health plan environments and supports integration with claims systems, clinical data warehouses, EHR feeds, and member data platforms through configurable APIs and standard healthcare data formats. ### What is Reveleer and what does it do for health plans? Reveleer is a healthcare AI and data analytics company that provides risk adjustment and quality management solutions for health plans and managed care organizations. The platform uses AI to process clinical and claims data, identify coding opportunities, and support quality measure improvement for programs like Medicare Advantage, Managed Medicaid, and commercial quality programs. ### What is risk adjustment and why is it important for health plans? Risk adjustment is a payment methodology in Medicare Advantage and other value-based health insurance programs where health plans receive higher payments for members with more complex medical conditions. Accurate risk adjustment ensures health plans are compensated appropriately for the health status of their enrolled population, making comprehensive chronic condition documentation critical to appropriate plan revenue. ### How does Reveleer use AI to improve risk adjustment coding? Reveleer's AI analyzes clinical data from member records, provider documentation, and chart review to identify chronic conditions that are present but may not be fully documented or coded in claim submissions. The platform prioritizes members most likely to have documentation gaps and guides clinical reviewers to the specific records that need attention, making chart review and risk adjustment programs more efficient and accurate. ### What quality management capabilities does Reveleer offer? Reveleer provides HEDIS (Healthcare Effectiveness Data and Information Set) and Stars quality measure analytics that help health plans understand their current performance on key quality metrics, identify members with open care gaps, and prioritize outreach to drive quality measure closure before the measurement period ends. Strong quality performance directly affects CMS Star ratings, which determine Medicare Advantage bonus payments. ### Who are Reveleer's customers? Reveleer's customers include Medicare Advantage plans, managed Medicaid plans, and commercial health plans of varying sizes. The company serves both large national health plans and regional managed care organizations that need sophisticated risk adjustment and quality analytics but may not have the internal resources to build and maintain these capabilities independently. ## Tags healthtech, saas, b2b, platform, analytics, ai-powered, automation, enterprise, scaleup --- *Data from geo.sig.ai Brand Intelligence Database. Updated 2026-04-14.*