Background Image

MCheck Clinical

Advanced AI tailored for healthcare to extract critical clinical data

HiLabs’ AI-powered clinical data solutions automates ingestion, mapping, validation, and transformation of clinical data—reducing turnaround times from days to hours and improving data quality.

hero image
icon

Delivering clinical intelligence every day across health plan operations

0B+

Clinical records processed

1960+

Industry standard data quality checks

54%

Accuracy in file standardization

icon

From Raw Clinical Files to Clean, Configurable Outputs—in Minutes

Temp icon
icon

Why Invest in AI-driven Clinical Data Intelligence

Column Mapping & Intake

Validation Logic & Configuration

Operational Visibility

Output Flexibility

Legacy Vendors

Rely on static templates and manual rules to interpret files, often breaking when column names or formats change

Column Mapping & Intake

Validation Logic & Configuration

Operational Visibility

Output Flexibility

HiLabs

AI Auto-Mapping intelligently assigns clinical concepts—even when files vary between providers or submissions

icon

Why Leading Plans Rely on HiLabs for Clinical Data Ingestion

A configurable AI platform that transforms messy clinical files into clean, validated outputs for risk, HEDIS, and care management

Section 5 Background
Temp icon

Automation & Accuracy

AI Auto-Mapping

Auto-detects and maps any incoming file, increasing the range of data available for downstream analysis and use cases such as HEDIS, Risk Adjustment, and Care Management

Validation Engine

Runs extensive clinical and operational checks to ensure accuracy across vitals, codes, and records before downstream delivery

Audit Readiness

Seamless, audit-ready regulatory reporting with pre-built CMS HSD outputs and state-compliant file submissions

Quality & Transparency

Audit & Operational Visibility

Track every mapping, validation, and fallout with real-time operational visibility and a full audit trail across the data pipeline

Closed-Loop Provider Feedback

Flags invalid records and creates a standard report with clear and actionable feedback for correction, tracking quality improvement over time

Configurability & Scalability

Multi-Team Output Configurations

Supports simultaneous, custom outputs for RA, Quality, and Analytics—tailored to meet each team's specific downstream needs

Self-Service Global Configurations

Easily modify rules, output logic, and routing preferences from the UI—no engineering support required for operational updates

icon

How a National Blue Plan Scaled Clinical Data Ingestion

Placeholder for illustration

$3M+ in Annual Operational Cost Savings

Replaced traditional rules-based workflows with AI-powered ingestion and validation—cutting internal processing costs by over $3M per year

AI-Powered Data Standardization in Minutes

Healthcare domain aware AI standardizes the input files in minutes and produces data in payor specific format including FHIR format

1300+ Data Sources Standardized

Standardized 1300+ data sources and surfaced source-level quality metrics to drive data transparency and submission accountability

icon

MCheck Platform

Explore Other MCheck Solutions

Roster Automation Icon

MCheck Roster Automation

Truly touchless end-to-end roster automation

Directory Accuracy Icon

MCheck Directory Accuracy

AI that replicates Healthcare SME behaviour—at scale—to correct and enrich directory data

Network IQ Icon

MCheck NetworkIQ

AI to optimize network management: Compliance, Competitiveness, and Cost of Care

Contracts AI Icon

MCheck ContractsAI

Eliminate contract complications with healthcare-trained AI

Value Based Care Icon

MCheck Value Based Care

Ensuring payment and data integrity in Value-Based Care

Transform Your Healthcare Data Today