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Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Call us today 412-608-4298

icon hereEDGE

Financial and risk performance information at your fingertips.

Did you struggle this year to get the financial and risk performance information you need about your Marketplace programs? Each year, the competitive landscape of ACA EDGE submissions raises the bar on what it means to be successful, on and off the Exchange. Whether it’s changing CMS formats, baselines, risk-scores, compliance, or transfer payments, we can help. Babel puts ACA plans in the driver seat and helps you navigate the twists and turns CMS puts in your path. Insight into your data enables you to make fast, efficient decisions, with the peace of mind that you’re doing it right, so you can focus your efforts where they are needed most—on providing quality healthcare to your members.


More than any other line of business, exchange plans require a skilled balancing act between the needs of the members, the demands of the government, MLR and actuarial forecasting. Babel offers a suite of tools that provide the insight into your program performance. From data import to acceptance and reconciliation, Exchange plans can manage their risk adjustment submissions with ease and efficiency, while seeing real time risk results to support the decisions they make daily.


Our fully integrated suite enables your health plan to:

  • Rank and prioritize error activities by risk/revenue
  • Analyze holistic revenue gaps – orphans, enrollment claims and supplemental non-claims based information
  • Concurrently measure progress to forecasted actuarial goals
  • Analyze data, ask questions, and produce reports
  • Import any file format and easily map and transform data
  • Validate data records against CMS edits prior to submission
  • Identify trends and Provider education opportunities
  • Eliminate reliance on IT resources

Take a closer look at the EDGE dashboard

User-friendly reporting at-a-glance.