Health Fidelity

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Health Fidelity is a provider of risk adjustment solutions for risk-bearing organizations that participate in Medicare Advantage, ACA, Medicaid, and Medicare ACO programs. It offers Natural Language Processing (NLP) technology and inference platform to analyze vast amounts of unstructured data in order to provide clinical and financial insights. The Company helps payer and provider organizations address risk and quality in value-based payment models for enhanced operational, clinical, and financial outcomes.

HQSan Mateo, CA, US
Employee Ratings4.1

Latest Updates

Employees (est.) (Feb 2021)77(+2%)
Cybersecurity ratingBMore

Key People/Management at Health Fidelity

Emily Bonham

Emily Bonham

Vice President, Product
John Blevins

John Blevins

Vice President, Strategic Business Development
Abby Bilyeu

Abby Bilyeu

Senior Vice President, Client Development
Joseph Bonazza

Joseph Bonazza

Director, Data Integration
Nicole Keegan

Nicole Keegan

Director, Engineering
Betsy Brookes

Betsy Brookes

Director, Human Resources & Team Member Engagement
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Health Fidelity Office Locations

Health Fidelity has offices in San Mateo and Pittsburgh
San Mateo, CA, US (HQ)
4 W 4th Ave
Pittsburgh, PA, US
The Crane Building, 40 24th St
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Health Fidelity Financials and Metrics

Summary Metrics

Founding Date


Health Fidelity total Funding

$19.3 m

Health Fidelity latest funding size

$19.26 m

Time since last funding

6 years ago

Health Fidelity investors

Health Fidelity's latest funding round in January 2015 was reported to be $19.3 m. In total, Health Fidelity has raised $19.3 m
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Health Fidelity Cybersecurity Score

Cybersecurity ratingPremium dataset



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Health Fidelity Online and Social Media Presence

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Health Fidelity Company Culture

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Health Fidelity News and Updates

Health Fidelity Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

SAN MATEO, Calif., Aug. 14, 2018 /PRNewswire/ -- Health Fidelity, Inc., a company that develops innovative risk adjustment technologies for the value-based care era, today announced that its Health Fidelity Cloud Application Suite and its supporting infrastructure has earned Certified...

Health Fidelity Blogs

CMS Policy Update: RAPS and EDPS, Model Updates, and PY 2022 Risk Calculations

Last month, CMS released their final announcement for calendar year (CY) 2022. This is a follow up to the advanced notice we covered September, particularly around the RAPS and EDPS transition. Before we begin, I think it’s important to mention that while not every facet of every update from CMS imp…

Health Fidelity Names New VP of Engineering, Expands Commercial and Leadership Teams

SAN MATEO, Calif.—Health Fidelity Inc., a company that provides innovative technologies for the value-based care era, has expanded its leadership team to support increasing demand for its Lumanent® suite of risk adjustment solutions. Tejveer Singh, formerly of Key Health, returned to Health Fidelity…

The Opportunity and Benefits of the Clinical Review Specialist

A hallmark (and problem) of technology in healthcare has been the drive to automate processes and eliminate staff headcount to boost ROI. For risk adjustment operations in particular, this often results in an increased burden on physicians, asking them to learn and apply CPT, ICD-10, HCC, and any nu…

What is Risk Adjustment in Healthcare?

Risk adjustment is a critical part of both the financial and clinical aspects of healthcare in the United States. Still, even many people working in healthcare don’t really understand what it is, why it’s important, or how it works. First, what is risk adjustment? Healthcare for approximately 110 mi…

Machine Learning in Healthcare and the Value of Human Expertise

When discussing artificial intelligence like NLP, the use of machine learning in healthcare inevitably comes up, so today we’re going to clearly articulate what machine learning is, and how it can be best used. First, when people say machine learning (ML), they usually think of “unsupervised,” that …

Pre-Encounter Risk Adjustment: If You Try Sometimes, You Get What You Need

As the significance of provider risk adjustment grows, especially within the clinical workflow, finding the right solutions and adopting them in the right order is a critical part of success. Today, I want to discuss that, as well as exploring an unorthodox approach: using pre-encounter risk adjustm…
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Health Fidelity Frequently Asked Questions

  • When was Health Fidelity founded?

    Health Fidelity was founded in 2011.

  • Who are Health Fidelity key executives?

    Health Fidelity's key executives are Emily Bonham, John Blevins and Abby Bilyeu.

  • How many employees does Health Fidelity have?

    Health Fidelity has 77 employees.

  • Who are Health Fidelity competitors?

    Competitors of Health Fidelity include WellSky, BC Platforms and Elation Health.

  • Where is Health Fidelity headquarters?

    Health Fidelity headquarters is located at 4 W 4th Ave, San Mateo.

  • Where are Health Fidelity offices?

    Health Fidelity has offices in San Mateo and Pittsburgh.

  • How many offices does Health Fidelity have?

    Health Fidelity has 2 offices.