Medical Record Retrieval Built for Providers and Health Plans

Accurate, complete, and timely medical record retrieval for providers and health plans – with separate workflows built for provider care initiatives, value-based care programs, and the privacy expectations of both.

Health Plan Enrollees

0 M+

Client Sites

19900

Re-Chase Risk

0 %

Reduce Retrieval Delays, Burden, and Record Variability

Manual chasing, uneven response rates, variable record quality, limited visibility, and provider abrasion continue to slow medical record retrieval.

For health plans, it can delay initiatives that may impact your Value-Based Care program, including: risk adjustment, quality, care gap closure, RADV, STARS, HEDIS, claims, and eligibility.
For providers, it can slow pre-visit planning, transitions of care, care gap closure, MIPS, and other record-dependent workflows.

Verisma’s Retrieval IQ™ solution helps both groups manage retrieval in a more structured, provider-respectful model that improves follow-through, strengthens record quality, and reduces unnecessary administrative burden.

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20,000+ Provider Locations Served

Improve Yield Without Increasing Burden Through Vast Provider Network

Provider-preference intelligence that reduces unnecessary friction and rework
Analytics that identifies the most appropriate connection or outreach method
Tracking that improves visibility throughout the retrieval process
Sequenced, tech-enabled outreach that accelerates speed-to-request
Various record submission mechanisms that allow record owners to send health information in their preferred method and format
Human-in-the-loop QA that delivers more consistent record quality
Interactive technology that promotes easy resolution and reconciliation

Built for Speed, Yield, and Record Quality.

Track Retrieval Work Through the Client Portal

User-friendly portal to monitor project status, outreach activity, and retrieval progress while Verisma’s record collection teams use the same environment as a centralized hub to manage gathering efforts.

Move Faster with Provider-Preference Intelligence

Leverages provider-pereference intelligence including history on preferred contact methods, release vendors, and retrieval channels. Accelerates speed-to-request and reduces provider abrasion.

Better Outcomes with Human-in-the-Loop QA

Automated quality assurance paired with specialized reviewers to validate each record packet against program-specific or use-case specific requirements for secure, normalized delivery and high-quality outputs.

Work Alongside Your Existing Vendors

Vendor-neutral, retrieval-only, built to fit beside internal teams and coding or analytics partners rather than compete with them. That same flexibility makes Verisma’s Re-Chase Program offering especially valuable when another vendor or internal team has deemed the request as “No Record Found”.

"Verisma cares about patients, members, and whole-person health. They’ve helped us grow, and we’re honored to collaborate with a partner dedicated to the proposition that healthcare should be accessible and equitable to everyone.”

Keelie SteffenSenior Manager of QI, Risk Adjustment, and HEDIS; Verda Healthcare

FAQs

Common Questions About Medical Record Retrieval

What is Retrieval IQ™?

Retrieval IQ™ is Verisma’s tech-enabled medical record retrieval solution for health plans and healthcare organizations. It helps clients request, track, receive, and quality-check medical records through intentionally separate payer and provider retrieval workflows built for their distinct programs, priorities, and privacy expectations. For health plans, that includes programs such as RADV, IVA, risk adjustment, HEDIS, Stars, claims, eligibility, and other CMS or Medicaid audits. For healthcare organizations, that includes pre-visit planning, transitions of care, care gap closure, risk adjustment support, and quality measures such as MIPS.

How does Retrieval IQ™ improve retrieval performance?

Retrieval IQ™ combines sequenced, tech-enabled outreach with a user-friendly client portal, provider-preference intelligence, analytics and tracking, and human-in-the-loop QA. Clients can monitor project status and outreach activity through the portal, while Verisma’s teams use the same environment to manage retrieval efforts. Record owners can submit records using their preferred method and format, and Verisma standardizes what is received into consistent, high-quality PDFs. Specialized reviewers then validate completeness and escalate outreach when needed.

Can Retrieval IQ™ work alongside our internal teams or existing vendors?

Yes. Retrieval IQ™ is a vendor-neutral, retrieval-only solution built to fit beside internal teams and coding or analytics partners rather than compete with them. Verisma focuses on retrieval, not coding, which makes the model especially useful for organizations that want stronger retrieval performance without disrupting their current analytics, abstraction, or coding relationships.

What is Re-Chase and when should it be used?

Re-Chase is Verisma’s retrieval service for charts that have already been marked incomplete, rejected, or otherwise stalled by another vendor or an internal team. It is especially valuable in the final stretch of risk adjustment and HEDIS deadlines, when provider fatigue, failed outreach, and opaque reporting can leave teams scrambling. Verisma steps in to recover difficult charts, plugs into existing workflows, and offers a pay-for-success model so clients only pay when Verisma retrieves the record.

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