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Vatica Health — Profile & Review

Vatica Health is a insurance underwriting & payer chart review operating in the medical-record review and IME ecosystem. Prospective risk adjustment, HCC coding/diagnosis capture, quality-of-care chart review, clinical validation auditing, provider-embedded clinical support

3 sections·5 sources·Verified 2026-08-15 ✓
Disclosure
10/17 facts
01

What it does

Prospective risk adjustment, HCC coding/diagnosis capture, quality-of-care chart review, clinical validation auditing, provider-embedded clinical support

02

Evaluation criteria

IME Hub rubric5 of 8 published
Processing model
AI + Human QA (embedded clinical teams + technology)
Human QA
Included (AAPC-certified clinical validation auditors)
Typical turnaround
Not published
Pricing model
Contracted/Volume-based (paid by health plans)
Indicative cost
Not published
Export formats
Not published
Best for
Health plans and primary care practices doing risk adjustment/HCC coding
Customer satisfaction
No public customer reviews found; Glassdoor/Indeed show employee (not customer) feedback
03

Profile notes

Who it serves
Health plans/payers (14 national/regional clients cited), provider practices (10,000+ partners), 1.9M+ patients across 40 states
Claims & platform notes
Proprietary integrated platform for clinical data synthesis from EMR/health-plan sources; "Well365" (appears to be a separate patient-facing wellness product) 1.9M+ patients, 40 states, 10,000+ partner practices (self-reported)
Review summary
Not independently rated in v1. Cited public reviews are listed in Sources; MedRecords assigns no star rating without verified evidence.

Key facts

Segment

Insurance Underwriting & Payer Chart Review

Website

https://www.vaticahealth.com

HQ

1660 South Highway 100, Suite 170, St. Louis Park, MN 55416

Ownership

Recently merged with Cozeva (described on-site as uniting "market leaders in risk and quality"); further ownership detail not published

Certifications

AAPC certification referenced for auditors; no SOC2/HITRUST found

Not publishedFounded · Headcount · Pricing · Turnaround

Sources

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Last verified: 2026-08-15