Virtix Health
Virtix Health sells clinical data retrieval, risk adjustment coding, HEDIS quality abstraction and AI-assisted review services to health plans and provider organizations.
Virtix Health supports value-based care and risk adjustment programs for Medicare Advantage, ACOs, Commercial/ACA and Medicaid managed care. Its services cover clinical data acquisition, certified in-house coding, HEDIS abstraction, payment integrity and documentation validation, delivered on its Linx platform and AI-powered CARAT technology. It earlier offered virtual wellness visits and in-home health risk assessments. It is a privately held, unfunded company with about 210 employees as of mid-2026. In 2026 it began processing Medicare claim reviews with AI for CMS's WISeR pilot in Washington state, where it is paid a share of averted expenditures. CMS later required it to submit a corrective action plan over slow claim responses.