Disclosure Management
Disclosure Management
Verisma Retrieval IQ™ helps health plans and coding or abstraction partners request, track, and quality-check medical records for RADV, risk adjustment, HEDIS, Stars, claims, eligibility, and related audit work without burdening providers.
Manual chasing, uneven response rates, variable record quality, limited visibility, provider abrasion, and third-party vendor conflicts continue to slow record retrieval for health plans. When retrieval breaks down, timelines compress, audits get harder, and critical programs become more difficult to execute with confidence, including quality programs such as HEDIS and Stars, along with risk adjustment, claims, eligibility, and RADV initiatives.
2.5M+
20%+
Re-Chase Success
Retrieval IQ for Health Plans is a tech-enabled medical record retrieval service built for health plans and their coding or abstraction partners. Verisma combines a centralized retrieval platform with retrieval specialists to request, track, ingest, and quality-check medical records across provider networks for programs such as RADV, risk adjustment, HEDIS, Stars, claims, eligibility, and other CMS or Medicaid audits. Verisma remains retrieval-only and vendor-neutral, making Retrieval IQ™ a strong fit beside internal teams and coding or analytics partners rather than a competing service layer. The result is a faster, friendlier retrieval model that improves yield, strengthens record quality, and helps health plans meet deadlines with less provider friction.
Set Up the Retrieval Project 
Launch Sequenced Outreach Retrieval IQ coordinates outreach through provider-friendly workflows that respect record-owner preferences and keep requests moving without unnecessary back-and-forth.
Ingest and Normalize What Is Received 
Quality-Check and Deliver the Record 
“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 Steffen, Senior Manager of QI, Risk Adjustment, and HEDIS
Verda Healthcare
Verisma Retrieval IQ™ is a retrieval-only, vendor-neutral solution designed to fit beside internal teams and coding or analytics vendors rather than replace them. Record owners can return records through a wide range of channels, and Verisma normalizes those submissions into high-quality PDFs for consistent downstream use. The model is built for health plan retrieval programs that need portal visibility, standardized packaging, and flexible source management without creating conflict with existing vendor relationships.
FAQs
Retrieval IQ supports retrieval for RADV, risk adjustment, HEDIS, Stars, claims, eligibility, IVA, other CMS or Medicaid audits, care gap identification and closure campaigns, and retrospective, prospective, and concurrent review support.
Yes. Verisma focuses exclusively on retrieval, not coding, which makes Retrieval IQ a vendor-neutral partner that fits beside internal teams and coding or analytics vendors rather than competing with them.
Re-Chase is Verisma’s retrieval service for charts that have already been marked incomplete, rejected, or stalled by another vendor or 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 plugs into existing workflows and offers a pay-for-success model, so clients only pay when Verisma retrieves the chart.
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