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Improve Quality Scores & Member Outcomes

Valiant Lifecare supports health plans and provider groups with end-to-end HEDIS abstraction, retrospective and prospective review, medical record retrieval, and quality program execution — helping organisations improve scores and close care gaps.

HEDIS Abstraction Medical Record Retrieval Prospective Review Retrospective Review Care Gap Closure NCQA Data Validation

Full-Service Delivery

HEDIS Abstraction

Accurate, compliant measure abstraction for all HEDIS domains, performed by trained clinical abstractors.

Medical Record Retrieval

End-to-end record collection across providers, EMRs, hospitals, and specialty clinics for complete measure review.

Prospective Quality Review

Pre-visit review to help providers close care gaps and improve member outcomes earlier in the year.

Retrospective Quality Review

Post-visit audits to validate documentation, identify missed measures, and strengthen compliance.

Care Gap Closure Programs

Outreach, scheduling, provider coordination, and clinical reminders to close HEDIS-related care gaps.

Data Validation & Reporting

Data audits, cleaning, validation, and reporting support for HEDIS submissions and NCQA compliance.

A Structured Workflow

01

Retrieval

Coordinated outreach to providers, hospitals, and EMRs for timely medical record access.

02

Abstraction

Measure-level review by certified abstractors with QA oversight.

03

Validation

Clinical audits to ensure measure accuracy before submission.

04

Closure

Member outreach, scheduling, reminders, and provider coordination.

05

Submission

Data validation, reporting, and NCQA-aligned submission support.

06

Improvement

Year-over-year program refinement and measure strategy.

Ready to work with Valiant Lifecare?

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