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Babel Health

Risk data, real clarity

Pittsburgh, Pennsylvania, United States

Babel Health was a healthcare technology company that provided an integrated suite of risk adjustment and encounter submission software and services for government-sponsored health plans. Acquired by Allscripts Healthcare in March 2022, its solutions are now integrated into Veradigm Payer Analytics, enhancing risk adjustment submission workflows for various health plans and payers.

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Problem Statement

Babel Health helped health plans manage complex business data, improve data quality, optimize revenue, and ensure compliance with regulatory requirements, particularly for Encounter Data Processing System (EDPS) submissions.

Core Technology

Integrated SaaS Extract-Transform-Load (ETL) data management platform

Key Differentiators

Innovative, customer-focused approach, providing health plans with full transparency and control of their underlying data through a user-friendly platform, aiming to be the 'gold standard' for risk adjustment and encounter submission requirements.

Target Customers

Government-sponsored health plans, targeting Medicare, Medicaid, and Affordable Care Act (ACA) markets

Product Stage

Mature

Company Info

Business Model
SaaS, B2B
Founded
2014
Total Funding
7,500,000

Categories

Claims/Revenue Cycle AI

Disease Areas

Technologies

SaaSETLData Management Platform

Clinical & IP

🔬

Clinical Validation

Regulatory validation through CMS EDPS submissions and Medicare Advantage programs. Proven at scale with Highmark (5.6M members across PA, DE, WV). Data pre-validated to 100% accuracy before submission to prevent errors and revenue loss.

MedStartr Index Score

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21

What do you think of Babel Health?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Innovation

Clinical Benefit

Feasibility

Scalability

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