About

Powering smarter risk and quality outcomes across healthcare. 

At Health Data Max, we equip payers, providers, and ACOs with advanced risk adjustment and quality analytics solutions—designed to drive better care, stronger compliance, and improved financial performance. 

Our intuitive, AI-powered SaaS platform transforms how organizations manage clinical and claims data—simplifying operations while ensuring accuracy in every submission. With robust analytics, actionable insights, and built-in regulatory intelligence, we help you uncover opportunities, close gaps, and stay audit-ready. 

Whether you're focused on risk capture, quality scores, or end-to-end value-based performance, our tools and team are here to help you lead with confidence. 

Our Risk Adjustment suite is powered by Agentic AI—a system of autonomous validation agents that continuously analyze CMS submission files, response reports, claims, and member profiles. Each agent cross-checks diagnoses, verifies data integrity, and ensures reimbursement accuracy in real time.
These agents work alongside fine-tuned LLMs trained on RADV and CMS-HCC guidelines to interpret documentation with expert precision. They identify unsupported diagnoses, missed HCCs, and hierarchy conflicts before submission, reducing payment errors and ensuring compliance with CMS audit standards.

Ready to see it in action? Schedule a personalized demo 

(571) 295-8107

Email: sales@healthdatamax.com