MCheck MCheck VBC

Ensuring payment integrity in Value-Based Care

Automate member attribution, contract configuration and instantly detect payment anomalies, and ensure financial accuracy with advanced AI - driving down operational costs and maximizing provider satisfaction and participation in your VBC programs.

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Transforming Provider Roster Management at Scale

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Member Attribution Records Analyzed Daily

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Provider Groups Analyzed Daily

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financial transactions reviewed daily in real-time

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From Plan-Specific Inputs to Trusted Provider Outputs—in Real Time

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Legacy Process Challenges vs. HiLabs AI-Powered Solution Advantage

Eliminate attribution delays, payment errors, and provider abrasion with AI-powered intelligent workflows that scale across models.

Traditional ETL-Based Approach

Manual attribution reviews with risks of misalignment

Attribution & Program Accuracy

Anomaly Detection & Resolution

Operational Cost & Efficiency

Provider Experience & Flexibility

HiLabs

Real-time attribution validation aligned to program rules and provider contracts

Attribution & Program Accuracy

Anomaly Detection & Resolution

Operational Cost & Efficiency

Provider Experience & Flexibility

Legacy Network Solution Vendors

HiLabs

Manual attribution reviews with risks of misalignment

Real-time attribution validation aligned to program rules and provider contracts

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Why Leading Payers Choose HiLabs AI-Driven Value-Based Care Solution

Comprehensive, AI-powered solution designed to detect, resolve, and prevent value-based care payment issues at scale

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Real Impact, Real Outcomes—What Success Looks Like

Learn how MCheck VBC helps leading health plans reduce operational costs, minimize provider abrasion, and accelerate VBC program adoption through real-time insights and automation.

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$5–6M in Operational Savings

HiLabs’ AI-driven anomaly detection and RCA capabilities have significantly reduced manual effort, streamlined workflows and unlocked millions in cost savings

Significant Drop in Provider Abrasion

Accurate payments and real-time member attribution have driven transparency and trust, leading to meanignful reductions in provider disputes.

Increase in VBC Program Adoption

With clearer insights and targeted engagement, provider participation in VBC programs has increased significantly across supported markets.

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MCheck Platform

Explore Other MCheck Solutions

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Clinical

Leverage advanced, healthcare-specific AI to extract high-value insights from unstructured clinical data.

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Roster Automation

Achieve end-to-end, truly touchless roster automation today!

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Directory Accuracy

Improve provider data accuracy so members have the best access to care in your directory.

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Network IQ

Adequate and smarter provider networks.

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Contracts AI

Unlock contract insights in seconds

Transform Your Healthcare Data Today