Unified live data layer
Combines claims, EHR, pharmacy, labs, ADT, telephony recordings, and payer file drops into one canonical member or patient record so different teams work from the same source of truth.
Pelica Health
Freemium
Pelica Health oferece uma força de trabalho de IA para equipes de cuidado baseado em valor, unificando dados, copilotos e ferramentas de ação para coordenar qualidade, risco, farmácia e gestão do cuidado.
O que é Pelica Health?
Pelica Health is an AI workforce for value-based care operations. The site positions it as an operating system for quality, risk, and care teams that need to work from one canonical record instead of separate spreadsheets, portals, and vendor tools.
The product combines a live data layer, role-specific AI copilots, and action tools for outreach, documentation, and review. In the source examples, that means surfacing HCCs at the point of care, closing quality and pharmacy gaps, coordinating providers, and helping care teams reduce manual coordination across the workflow.
O que Pelica Health pode fazer?
Multiple copilots on one record
Provides role-specific copilots for risk adjustment, quality and Stars, pharmacy and Part D, provider network, and care management, plus an AI Data Analyst for plain-English analysis and SQL generation.
Point-of-care opportunity detection
Surfaces suspected HCCs, quality gaps, and other opportunities while the member is still in scope, with V28-aware trumping and RADV-defensible documentation attached to captures.
Execution across channels
Moves work into action through outbound voice, SMS, EMR overlays such as Epic SMART-on-FHIR and Athena marketplace, a portal, and a coder workspace for encounter and claim review.
Prioritized team workflows
Builds ranked worklists and rebalances them as new reports arrive, so teams can prioritize outreach, review the highest-value opportunities first, and avoid duplicate work across functions.
Casos de uso
“Risk adjustment and HCC capture”
Risk teams use the platform to compare claims against charts, surface suspected HCCs during the care window, and keep documentation attached for RADV defensibility.
“Quality gap closure”
Quality and Stars teams use one ranked worklist to close care gaps, coordinate outreach, and reduce duplicate calls across teams working from different systems.
“Pharmacy and adherence workflows”
Pharmacy teams use the shared record to support adherence work and Part D gap closure, while updates flow back to other copilots and projections.
“Care management and transitions of care”
Care management teams use ADT-driven worklists, follow-up planning, and outreach support to coordinate post-discharge and transition-of-care tasks.
“Provider network coordination”
Provider network teams use EMR overlays and provider-facing actions to surface care already delivered and capture credit closer to the point of care.
Perguntas frequentes
Who is Pelica for?
Pelica is designed for value-based care teams that need to coordinate quality, risk adjustment, pharmacy, care management, and provider workflows from one shared record. The source shows use across health plans, IPAs/MSOs, ACOs, and risk-bearing medical groups.
What data does Pelica work with?
The source describes a deployment that uses live data from claims, EHR, pharmacy, labs, ADT, telephony recordings, and payer SFTP drops. It presents those inputs as part of a canonical record that multiple copilots can read and write.
How do teams use the product day to day?
Pelica includes role-specific copilots and action surfaces such as outbound voice, EMR overlays, a provider and staff portal, and a coder workspace. The goal is to move work from analysis into outreach, documentation, and review.
How long does implementation take?
The customer story says HealthCare Partners went live in about two weeks, and the risk-adjustment page gives a similar two-week go-live claim. The site also says Pelica deploys forward by embedding with the team and learning the workflow.
How is data protected?
The customer story states that Pelica is HIPAA compliant and SOC 2 Type II, with tenant isolation, end-to-end encryption, a full audit trail, and zero-retention agreements with LLM providers. It also notes that HITRUST certification is in progress.
Informações rápidas
- Category
- AI workforce for value-based care
- Primary users
- Health plans, IPAs/MSOs, ACOs, and risk-bearing medical groups
- Core workflow
- Shared canonical record for quality, risk, pharmacy, and care management
- Deployment
- Cloud software with live data and action layers
- Source domain
- delty.ai
- Pricing
- Not published on the site
Análise de tráfego de Pelica Health
Os dados de tráfego são apenas para referência.
- Classificação do domínio
- 16
Alternativas ao Pelica Health
Wondershare
wondershare.tw
Wondershare é um conjunto de ferramentas de IA para vídeos, PDFs, mapas mentais, recuperação de dados e gestão móvel.
Heron
herondata.io
Heron é uma plataforma de automação de documentos que captura, classifica, extrai, enriquece, valida e sincroniza dados de documentos para equipes de crédito, seguros e outros fluxos de trabalho com alto volume de papelada.
PDF GPT
pdfgpt.chat
PDF GPT é uma ferramenta de chat com AI para resumir, pesquisar e fazer perguntas sobre documentos PDF. Oferece respostas com citações, pesquisa em vários PDFs e fluxos de trabalho multilíngues.
Nativ Docs
www.nativdocs.co
Nativ Docs é uma camada de colaboração para documentos, apresentações e sites gerados por IA. Ajuda equipes a revisar, comentar e aprimorar o trabalho da IA em seu contexto, em vez de espalhar as conversas por vários chats.
V7 Go
v7labs.com
Automação de workflows com AI para equipes financeiras e jurídicas
LOIS
filevine.com
LOIS é a plataforma de IA jurídica da Filevine para escritórios e equipes jurídicas, com fluxos rastreáveis e orientados a cada caso.