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.

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
Disease Areas
Technologies
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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