Manual HEDIS chart review is a high-cost, high-risk operational bottleneck. Health plans spend millions annually on clinical staff manually sifting through EHRs to validate numerator/denominator data for CMS reporting. A custom multi-agent architecture automates this by deploying specialized agents for data extraction, measure logic, and discrepancy resolution. This directly converts labor expense into a fixed, scalable compute cost while improving measure accuracy and creating a defensible, lineage-tracked audit trail for regulatory scrutiny.




