The AI-Native Data Platform for Healthcare Payers
Veridian Health connects to your existing systems, unifies claims, clinical, and operational data, and enables automated workflows that reduce medical costs, cut administrative spend, and improve quality metrics.
Siloed Systems
Manual Operations
Missed Interventions
Why this matters
Data scattered across dozens of systems
Claims data in legacy mainframes, clinical notes in separate repositories, call center transcripts in blob storage, population health benchmarks purchased but never integrated. A care manager documents an assessment, but it never reaches claims processing, risk models, or client reporting.
Analysts manually cross-reference everything
Claims processors ping care managers for clinical context. Reporting requires days of manual compilation from disparate sources. Underwriting teams cannot access unified datasets for renewal pricing. Every manual handoff adds cost and delay to administrative operations.
High-risk members identified too late
Without unified data, payers cannot proactively identify members heading toward expensive claims. Care gaps, chronic disease escalation, and behavioral health indicators stay buried until they become costly crises — driving up medical costs and degrading quality scores.
Point solutions that never connect
Denial management, prior auth automation, clinical workflow tools — each solves a narrow problem but none address the underlying data fragmentation. The result is an industry that spends billions on health IT yet still operates with inaccessible, underutilized data.
Our approach
Built to work with what you have
No rip-and-replace. Veridian sits on top of your existing claims systems, data warehouses, and clinical repositories — deployed in weeks, not months.
Connect
Lightweight agents connect to your claims systems, data warehouses, clinical repositories, and external data sources — ingesting structured and unstructured data without replacing or migrating anything.
Unify
AI parses clinical notes, call transcripts, and faxed authorizations — extracting diagnoses, risk factors, and actionable elements. Everything links to member records in a single queryable layer.
Act
Stakeholder-specific workflows automate proactive risk intervention, care gap identification, quality measure tracking, and client reporting — replacing manual processes with pipelines that execute continuously.
Every Source, One Unified Layer
Claims systems, clinical documentation, care management records, call center transcripts, and population health benchmarks—connected and queryable from a single platform.
Atlas AI
One conversation. Every answer, workflow, and insight you need.
Atlas is your autonomous AI agent — ask it anything about your data, tell it to build a workflow, or have it run a simulation. It handles the rest.
Answers in seconds.
Query claims, costs, risk scores, and population health — every answer cites its source.
Describe it. Deploy it.
Tell Atlas what you need in plain English. It builds the workflow and puts it into production.
See the results before you commit.
Run simulations on any patient population or intervention scenario. Atlas projects clinical outcomes, cost impact, and resource requirements — so you invest in what actually works.
Ask a question. Get a dashboard.
Atlas generates interactive charts, cohort comparisons, and trend analyses on the fly. Share with leadership, drop into board decks, or keep exploring in the conversation.
Never miss a change.
Atlas tracks regulations, benchmarks, and payer guidelines — surfacing what affects your organization.
Every document, connected.
Clinical notes, EOBs, lab reports, discharge summaries — parsed, indexed, and linked to member records.