Ciox

Ciox is a platform offered by Ciox, a Datavant Company, that aims to simplify the process of requesting, retrieving, and delivering medical records for healthcare decision-makers. According to the vendor, Ciox connects healthcare organizations with valuable data and insights, improving financial performance, data management, and compliance. The platform is designed to serve a wide range of companies, including large hospitals, health systems, health plans, government agencies, law firms, and life insurance companies.

Key Features

Seamless data exchange: According to the vendor, Ciox provides a platform that facilitates the secure exchange of health data, streamlining the process of requesting, retrieving, and delivering medical records. The platform offers advanced request and retrieval management, data sharing controls, and a focus on compliance and quality assurance.

Patient record access: Ciox allows patients to securely access their medical records in their preferred format. The platform also offers simplified health information management solutions for providers and supports API integration for commercial and government entities, aiming to improve efficiency and replace manual processing. Additionally, Ciox offers risk adjustment solutions for health plans to optimize risk adjustment and improve member outcomes.

Information security: The vendor states that Ciox prioritizes information security by implementing a multi-layered approach. The platform includes real-time monitoring and alerting, continuous testing, and hands-on coaching for security risks. Quality assurance measures, such as OCR and NLP technology, request fulfillment accuracy verification, and a complete audit trail, are in place to ensure data accuracy and accountability. Ciox's HealthSource workflow system enables secure management of the manual and digital release of information, ensuring compliance and efficiency.

Data linking and analysis: Ciox's platform allows for the linking of data to provide precise predictions and management of healthcare utilization. According to the vendor, this feature helps healthcare organizations gain valuable insights into patient populations, enabling them to make informed decisions and optimize their operations.

Risk Adjustment Solutions: The vendor claims that Ciox offers comprehensive risk adjustment solutions for health plans, including Medicare Advantage, Medicaid, ACA, and CMS Direct services. These solutions aim to identify, obtain, and analyze medical data quickly and securely, supporting both retrospective and prospective risk adjustment.

Medical Records Retrieval: Ciox provides medical record retrieval services for health plans, supporting various quality measures such as HEDIS, RAD-V, and STARS. The platform offers both digital and traditional retrieval methods, aiming to reduce provider abrasion and improve relationships.

Business Intelligence: According to the vendor, Ciox offers pre and post-chase member analysis and insights to provide health plans with analytics and actionable information for informed decision-making. These insights are intended to enhance risk adjustment strategies and contribute to improved outcomes.

HCC Coding: Ciox provides HCC coding services for risk adjustment, aiming to ensure accurate and compliant coding. The platform helps health plans identify and capture relevant diagnosis codes, improving risk score accuracy and payment accuracy.

Second Level Review Coding: Ciox's coding service offers a second level review of coding using natural language processing (NLP) and machine learning. According to the vendor, this feature enhances coding efficiency, reduces errors, and ensures quality and accuracy in risk adjustment coding processes.

Data Utilities: Ciox adds value to digital clinical chart retrievals by offering structured data delivery and data harmonization. This feature aims to enhance analytics and downstream use cases by supplementing clinical data with additional insights.