Evidence-First AI for

Payers and Life Sciences

Accelerate Risk Adjustment workflows and master Market Access with end-to-end clinical chart retrieval and AI-powered intelligence.
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Full-Lifecycle Clinical Chart Review

Chart Retrieval

Retrieve charts from your internal systems or existing vendors. We can also support direct connections where available as an optional add-on.

Process

Convert PDFs and CDA/CCD into structured data: patient + provider details, encounter dates, signatures, and a clean clinical timeline.

Evidence Extraction

Highlight condition evidence and documentation elements needed for defensible coding — with source-linked excerpts reviewers can verify.

Submission-Ready Package

Deliver reviewer-friendly outputs (summaries, evidence highlights, and code-support artifacts). Optional: route to a manual compliance review partner for final validation.

Chista RiskSight™: High-Fidelity Risk Adjustment

Chista RiskSight™ is our specialized LLM-driven engine designed to turn massive volumes of clinical charts into audit-ready intelligence. We don't just process data; we validate and consolidate it to ensure every code is defensible.

  • Automated Face-to-Face Validation: Our AI instantly identifies valid "Face-to-Face" encounters by verifying the presence of Patient Name, DOB, and Provider Signatures/Credentials across every document page.
  • Intelligent Chart Consolidation: We eliminate the headache of duplicate records by consolidating multiple disparate charts into a single, de-duplicated master file with a unified clinical timeline.
  • ICD-10 & HCC Evidence Extraction: The engine scans thousands of pages to pinpoint HCC-eligible conditions and ICD-10 codes, automatically highlighting the exact clinical notes that serve as evidence for each condition.
  • Reviewer Co-Pilot & Chat: Interact with the chart in real-time. Use the built-in chatbot to instantly summarize complex encounters or ask specific clinical questions to find the data you need in seconds.

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Versatile AI Reviews for Any Clinical Context

Our cutting-edge platform leverages advanced AI and LLM models to revolutionize clinical data processing. We simplify the assessment of complex records by automating documentation and interpreting hard-to-read faxes.

  • Fax-to-Data: We interpret and digitize hard-to-read medical faxes, transforming unstructured images into actionable data.
  • Clinical Chatbot: Ask your documents specific questions and get instant, cited answers based directly on the uploaded medical records.
  • Chronological Organization: Automatically reorder clinical notes and complex medical records by date to simplify the review process.

Formulary360: A 360° View of Market Access

Stop guessing at payer behavior. Chista’s Formulary 360 provides a unified dashboard for Life Sciences leaders to navigate the complexities of drug access.

  • Comprehensive Data: Real-time visibility into beneficiary cost-sharing, WAC pricing, and drug formulary status.
  • Prior Auth Intelligence: Access the exact PA criteria and policies that determine patient access.
  • Predictive Analytics: Use historical payer data to forecast access disruptions and align your commercial strategy.

Robust Security & Compliance

We prioritize the security of your data with our top-tier infrastructure. Our platform is fully HIPAA compliant, ensuring that all patient health information is protected. We utilize advanced encryption to safeguard data end-to-end and adhere to the latest security standards. Trust in our secure system to keep your sensitive information safe and confidential.

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