MCheck™ Network IQ
Optimize your network for growth and compliance
Overview
Effortlessly maintain network adequacy, rapidily sculpt cost-effective networks for market expansion, and ensure high quality care with real-time, AI-driven insights
Standalone solutions
Data Accuracy
HiLabs’ AI powered R3 algorithm, published in JAMA, processes data from real-time sources helping the plan achieve a 97% accuracy rate, ensuring compliant, high-quality provider data without regulatory risk
Network Optimization
HiLabs’ AI-powered NetworkIQ solution delivers truly accurate gap closure recommendations,securing efficient sourcing of high performing providers jointly optimizing network adequacy and cost of care
Regulatory Compliance
Leveraging advanced geospatial technology,NetworkIQ runs real-time adequacy calculations—ensuring CMS compliance and prioritizing in-network utilization
Cost Efficiency
By automating provider data validation, compliance reporting, and adequacy analysis in a single platform, HiLabs reduces payer costs by 40%—eliminating fragmented services and costly manual processes relied on by legacy vendors
Building a Competitive Network with AI
HiLabs’ AI-powered network management solution enables payers to stay compliant, optimize market expansion, and reduce cost of care
Ensuring Compliance with AI-Powered Network Adequacy
Automating Network Adequacy Compliance with 95% Accuracy
Identifies network gaps and provides AI- driven recommendations to close them, ensuring compliance and optimized provider networks Automate real-time compliance checks to meet LOB specific CMS and state mandates’
What-If Analysis
Helps payers proactively maintain compliance by adapting to network changes and regulatory shifts with real-time scenario modeling. Delivers actionable insights for strategic provider selection and contract negotiations, ensuring optimized network adequacy
AutoReport
Eliminates regulatory submission uncertainty, reducing dependency on manual audits and allows for seamless compliance reporting without manual effort Automatically generates pre-configured HSD outputs compliant for CMS, submission and state-specific mandates
Smarter, faster network expansion
Ensuring Compliance with AI-Powered Network Adequacy
Automating Network Adequacy Compliance with 95% Accuracy
Identifies network gaps and provides AI- driven recommendations to close them, ensuring compliance and optimized provider networks Automate real-time compliance checks to meet LOB specific CMS and state mandates’
What-If Analysis
Helps payers proactively maintain compliance by adapting to network changes and regulatory shifts with real-time scenario modeling. Delivers actionable insights for strategic provider selection and contract negotiations, ensuring optimized network adequacy
AutoReport
Eliminates regulatory submission uncertainty, reducing dependency on manual audits and allows for seamless compliance reporting without manual effort Automatically generates pre-configured HSD outputs compliant for CMS, submission and state-specific mandates
Why are large national payers are choosing NetworkIQ?
Legacy Network Solution Vendors
HiLabs
