Apixio
Founded Year
2009Stage
Acq - Fin | AcquiredTotal Raised
$50.36MAbout Apixio
Apixio focuses on healthcare AI solutions within the health plans and providers sector. The company offers services that include risk adjustment, payment integrity, health data management, and AI-as-a-service. Apixio serves health plans, providers, and Accountable Care Organizations (ACOs). It was founded in 2009 and is based in San Mateo, California. It was acquired by Datavant on 13 Jun 2023 and operates as a subsidiary.
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Apixio's Product Videos
ESPs containing Apixio
The ESP matrix leverages data and analyst insight to identify and rank leading companies in a given technology landscape.
The payment integrity and verification platforms market offers solutions to ensure the accuracy and legitimacy of financial transactions in healthcare. These platforms leverage AI technologies to validate claims, reduce errors, and verify individual transactions. Key features include real-time claim auditing, automated code review, and pattern recognition to identify unusual billing practices. By …
Apixio named as Outperformer among 13 other companies, including MultiPlan, Optum, and Conduent.
Apixio's Products & Differentiators
Risk Adjustment
Apixio’s Retrospective and Prospective & Concurrent Risk Adjustment Solutions are industry leading AI-powered technologies receiving Best in KLAS 2021 for Risk Adjustment & Analytics. The program captures a complete picture disease burden by identifying HCCs (Hierarchical Categorical Categories) across a population, improving value-based clinical, operational, and financial results. The solution increases accuracy by reviewing uncoded HCCs, displaying complete project visibility for chart reviews. It streamlines code review processes to help audit reviewers focus efforts on unsupported codes. This minimizes audit workloads while improving speed and accuracy in audit results. It also offers the ability to look both ways to identify adds and potential deletes of HCCs through Apixio’s industry-leading risk adjustment offering.
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Research containing Apixio
Get data-driven expert analysis from the CB Insights Intelligence Unit.
CB Insights Intelligence Analysts have mentioned Apixio in 1 CB Insights research brief, most recently on Feb 29, 2024.
Expert Collections containing Apixio
Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.
Apixio is included in 4 Expert Collections, including Value-Based Care & Population Health.
Value-Based Care & Population Health
1,085 items
The VBC & Population Health collection includes companies that enable and deliver care models that address the health needs for defining populations along the continuum of care, including in the community setting, through participation, engagement, and targeted interventions.
Conference Exhibitors
5,302 items
Digital Health
11,305 items
The digital health collection includes vendors developing software, platforms, sensor & robotic hardware, health data infrastructure, and tech-enabled services in healthcare. The list excludes pureplay pharma/biopharma, sequencing instruments, gene editing, and assistive tech.
Artificial Intelligence
7,221 items
Apixio Patents
Apixio has filed 43 patents.
The 3 most popular patent topics include:
- health informatics
- electronic health records
- medical terminology
Application Date | Grant Date | Title | Related Topics | Status |
|---|---|---|---|---|
12/9/2022 | 2/4/2025 | Health informatics, Electronic health records, Medical terminology, Natural language processing, Data management | Grant |
Application Date | 12/9/2022 |
|---|---|
Grant Date | 2/4/2025 |
Title | |
Related Topics | Health informatics, Electronic health records, Medical terminology, Natural language processing, Data management |
Status | Grant |
Latest Apixio News
Mar 6, 2025
– The integrated offering provides health plans and risk-bearing providers with the tools and insights they need to effectively manage clinical data, improve care coordination, and drive better outcomes for patients. Empowering Healthcare Organizations The platform, created through Datavant’s integration with Apixio, offers a comprehensive suite of capabilities, including: Data Acquisition: Seamlessly acquire and integrate clinical data from various sources, including electronic health records (EHRs), claims data, and other health information systems. AI-Powered Workflows: Leverage AI to automate tasks, streamline processes, and enhance efficiency in clinical data management. Advanced Analytics: Generate actionable insights from clinical data through advanced analytics and reporting tools. Health Data Management: Securely manage and exchange health data while ensuring compliance with privacy regulations. “Healthcare organizations are struggling with fragmented data processes that drive up costs while potentially missing critical insights,” said Sachin Patel, General Manager and President of Datavant’s Payer vertical. “With the enhanced Clinical Insights Platform, we have accelerated the industry’s ability to access and utilize clinical data, helping health plans and providers improve quality, streamline operations, and drive better outcomes faster than ever before, harnessing the power of distinctively trained AI.”
Apixio Frequently Asked Questions (FAQ)
When was Apixio founded?
Apixio was founded in 2009.
Where is Apixio's headquarters?
Apixio's headquarters is located at 1850 Gateway Drive, San Mateo.
What is Apixio's latest funding round?
Apixio's latest funding round is Acq - Fin.
How much did Apixio raise?
Apixio raised a total of $50.36M.
Who are the investors of Apixio?
Investors of Apixio include New Mountain Capital, Centene, Bain Capital Ventures, SSM Partners, Candou Ventures and 3 more.
Who are Apixio's competitors?
Competitors of Apixio include Navina, Edifecs, Innovaccer, Reveleer, Credo and 7 more.
What products does Apixio offer?
Apixio's products include Risk Adjustment and 3 more.
Who are Apixio's customers?
Customers of Apixio include Providence St. Joseph Health , HCSC , Aledade , Blue Cross Blue Shield North Carolina and Blue Cross Blue Shield Tennessee.
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