Meet your AI HEDIS
Coordinator.
Coordinator.
It works every open gap. You don't hire for that anymore.
Your team focuses on patients who need clinical care. Everything else - finding evidence across claims, faxes, labs, and PDFs, reconciling payor gap lists, generating submission-ready supplemental files - is handled automatically.
No commitment required · Typical demo: 20 min
Ingesting sources
Claims data - Aetna
Inbound fax - lab results
HbA1c result - Quest
AI Engine
Reconciling across sources
Gaps closed
COL - Colorectal screening Closed
CDC - HbA1c control Closed
CBP - Blood pressure Closed
The Problem
Your EMR only sees part of the picture.
Standard HEDIS tools extract data from your EMR - but the evidence coordinators need lives across claims, faxes, labs, and PDFs too. Reconciling those sources manually is where the hours go. Most of the time, the gap was already closed.
EMR Coverage0%
Full Source Coverage0%
95% of measures don't need your team.
A lab result buried in a fax gets the same coordinator time as a patient with uncontrolled hypertension who needs clinical intervention. Your best people are spending their day on work a machine should handle.
Machine work0%
Needs clinical judgment0%
Regulatory Shift
NCQA is eliminating chart retrieval for key hybrid measures - COL, CIS, IMA, CCS - and requiring compliance to flow through prospective supplemental data instead. Organizations still running manual chart chase workflows are about to hit a wall.
The Difference
What makes this different.
"Other tools hand you a better flashlight. We turn on the lights."
VS
Every other HEDIS tool
Pulls EMR data, surfaces evidence
Helps abstractors work faster
Stops at dashboards and worklists
Still requires manual payor reconciliation
Single data source per submission
DoctusTech AI HEDIS Coordinator
Ingests EMR, claims, faxes, PDFs, labs
Eliminates the abstractor workflow entirely
Closes gaps autonomously where data allows
Auto-generates payor-ready supplemental files
Formatted to each payor's exact specs
With DoctusTech, here's how those 15 gaps get handled
0 Total gaps
→
0 Automated by AI
+
0 For your team
How It Works
How your AI HEDIS Coordinator works
"Not all HEDIS gaps need a human. The ones that do deserve your team's full attention."
Handled by AI
Your clinical team
Gap type Example What's required Who owns it
▾
Documentation gaps
Screening done, not in EMR
Cross-source reconciliation, supplemental submission
AI
AI handles this automatically
Scans EMR, labs, claims, and supplemental sources - reconciling records and submitting documentation without manual chart review. Zero coordinator time required.
▾
Administrative gaps
Result in fax or PDF, unreconciled
Multi-source evidence packaging, payor formatting
AI
AI handles this automatically
Faxes, PDFs, and unstructured results are ingested, parsed, and packaged into payor-ready evidence submissions - formatted to each payor's exact requirements.
▾
Outreach & scheduling gaps
Lab draw or screening not yet done
Outbound patient contact, scheduling, closure confirmation
AI
AI handles this automatically
AI reaches out to patients via their preferred channel, schedules the needed service, and confirms closure once results are received. Your team is notified only if outreach fails.
▾
Clinical improvement gaps
HTN not at goal, HbA1c uncontrolled
Clinical judgment, treatment decision, patient relationship
Your team
Your team owns this - AI prepares the context
These gaps require clinical judgment and a therapeutic relationship. AI surfaces the patient, preps the chart summary, and flags the gap - so your clinicians walk in fully briefed.
0 Gap types
0 Handled by AI 75% of volume
0 For your team
Ready to Find Out
By the time your coordinators arrive, HEDIS Agent has already closed the gaps the data supports.
Most organizations find closed gaps hiding in sources their EMR never touched.
Request a demo
→
No commitment required · Typical demo: 20 min