What it does
Risk adjustment chart retrieval and coding (historically); now marketed under Optum's risk-adjustment operations || Historically: risk adjustment chart review, HEDIS abstraction, medical record retrieval for Medicare Advantage plans || Risk adjustment coding, medical record retrieval and review for HCC/risk-adjustment purposes (per historical Episource positioning; not detailed on redirected Optum page this session)
Evaluation criteria
Profile notes
Key facts
| Segment | Medical Record Retrieval / ROI, Insurance Underwriting & Payer Chart Review, HIM / RCM Outsourcer & LPO at scale |
| Website | [https://www.episource.com (redirects to Optum)](https://www.episource.com (redirects to Optum)) |
| Founded | Not published this session (Episource founded ~2006 per general knowledge; not confirmed via fetch) |
| HQ | Not published this session (Episource legacy HQ: Santa Monica/El Segundo, CA per general knowledge; site now redirects to Optum) |
| Headcount | Not published this session |
| Ownership | episource.com now redirects to business.optum.com's risk-adjustment page, indicating Episource has been absorbed into Optum/UnitedHealth Group's risk-adjustment business line |
| Certifications | Not published this session |
| Not published | Pricing · Turnaround |
Sources
- Source
- Episource website
- KLAS - Episource (An Optum Company)
- Optum Business - Retrospective Risk Adjustment
- Arcadia: 20 Risk Adjustment Software Vendors to Consider in 2026
- FinancialContent / GlobePRwire: The Best Risk Adjustment Companies Health Plans Should Know in 2026
- Pelica Health: Reveleer Alternatives and Competitors in 2026
