HEDIS · HCC Recapture · Autonomous Outreach
Close More Gaps.
Capture More Revenue.
Automatically.
GapClose scans your patient panel nightly, surfaces every open HEDIS gap and HCC opportunity, and takes action — without you lifting a finger.
No credit card required · No EHR integration · Setup in minutes
93
HEDIS measures
115
HCC codes tracked
$2,400
avg revenue per closed gap
85%+
target closure rate
14-day
free trial, no card
Built for Primary Care
One tool. Your entire revenue cycle.
Everything a practice on value-based contracts needs — in one place.
Gap Management
Prioritized gap worklist, automatically sorted by revenue impact
James Martin ···4229Medicaid
CDC A1C
$2,400
Susan Rodriguez ···8821Medicare Adv.
BCS
$1,800
David Thompson ···3344Commercial
CBP
$1,200
Maria Wilson ···7712Medicare
AWV
$950
47 open gaps · $112,800 recoverableBulk close →
HCC Recapture
$847K
in recoverable revenue
in a 300-patient panel
in a 300-patient panel
115 HCC codes tracked with real RAF weight. One-click confirm, defer, or reject — routed to the right provider automatically.
HCC 19 Diabetes
0.318
HCC 85 CHF
0.368
HCC 108 Vascular
0.251
HCC 111 COPD
0.196
Autonomous Outreach
AI writes and sends patient outreach — zero staff time
AI-generated patient letters, provider daily digests, and executive reports — via your own SMTP server or our built-in delivery.
Gap Closure Campaign — 47 emails queued
Provider Digest — sent daily at 7am
Executive Report — auto-generated weekly
Coverage
All 93 HEDIS measures. Payer-specific thresholds.
Medicare Advantage uses different A1C and BP thresholds than Commercial. GapClose knows the difference.
CDCCBPBCSCCSCOLAWVPHQ-9SPRFUHURIHBAWCC
HIPAA-Conscious
AES-256
Encrypted PHI fields
Append-only audit log, role-based access control, zero PHI in logs or external services. Built for healthcare from day one.
✓Append-only HIPAA audit log
✓Role-based access control (RBAC)
✓PHI redacted from logs + analytics
✓AES-256 encrypted fields at rest
Setup
Up and running in minutes
No EHR integration. No IT project. Just upload a CSV.
01 — Upload
Export a CSV from your EHR
Epic, Athena, eCW, or any system. Intelligent field mapping handles messy real-world data automatically.
02 — Scan
GapClose scans overnight
Every patient scored against all 93 HEDIS measures and 115 HCC codes. Payer-specific criteria applied automatically.
03 — Act
Prioritized worklist, zero effort
Providers get a daily digest. Care coordinators see a revenue-sorted gap list. AI letters go out to patients automatically.
04 — Track
Close gaps, capture revenue
Revenue impact calculated in real time as gaps close. Executive reports show progress against quality targets.
Any EHR — No Integration Required
Works with Epic, Athena, eCW, and any system that exports CSV
Intelligent field mapping handles column names like DOB, date_of_birth, or patient_dob automatically.
Supported EHR Exports
✓Epic MyChart / Clarity
✓Athena Health (athenaOne)
✓eClinicalWorks
✓Greenway Health (Intergy)
✓Practice Fusion
✓Any CSV export
Pricing
Simple, transparent pricing
14-day free trial. No credit card required.
Starter
$299/mo
Up to 1,000 patients · 3 users
Start Free Trial- ✓93 HEDIS measures
- ✓115 HCC codes tracked
- ✓CSV import + field mapping
- ✓Automated patient outreach
- ✓3 report types
- ✓Email support
Growth
$599/mo
Up to 5,000 patients · 10 users
Start Free Trial- ✓Everything in Starter
- ✓All 5 report types
- ✓Payer performance analytics
- ✓Multi-provider workflow
- ✓Custom SMTP email sending
- ✓Priority support
Enterprise
$1,199/mo
Unlimited patients · Unlimited users
Start Free Trial- ✓Everything in Growth
- ✓Unlimited users
- ✓Custom reporting
- ✓Dedicated onboarding
- ✓Phone + email support
- ✓Annual billing available
Annual plans save ~20%. Cancel anytime. All plans include HIPAA-conscious data handling.
FAQ
Frequently asked questions
Everything you need to know about GapClose.
What is HEDIS and why does it matter?
HEDIS (Healthcare Effectiveness Data and Information Set) is the most widely used set of healthcare performance measures in the United States. Payers use HEDIS scores to determine quality bonuses and Star Ratings. Closing HEDIS gaps directly increases reimbursement and improves patient outcomes.
How does GapClose identify care gaps?
GapClose scans your patient panel against all 93 HEDIS measures and 115 HCC codes nightly. It applies payer-specific thresholds (e.g., different A1C targets for Medicare Advantage vs. Commercial plans) and surfaces every open gap, sorted by revenue impact.
Do I need to integrate with my EHR?
No. GapClose works with a simple CSV export from any EHR — Epic, Athena, eClinicalWorks, or any system. Our intelligent field mapping handles different column names and formats automatically. No IT project required.
Is patient data secure?
Absolutely. GapClose uses AES-256 encryption for PHI fields at rest, maintains an append-only HIPAA audit log, enforces role-based access control, and ensures zero PHI appears in logs or external services. We are built for healthcare from day one.
How long does setup take?
Most practices are up and running within minutes. Export a CSV from your EHR, upload it to GapClose, and your first gap analysis runs overnight. No integration, no IT tickets, no waiting.
What kind of support do you offer?
Starter plans include email support. Growth plans receive priority support with faster response times. Enterprise plans include dedicated onboarding, phone support, and a named account manager.
Get Started
Ready to find out what's
sitting in your panel?
Most practices have $200,000–$800,000 in recoverable revenue they don't know about.
GapClose finds it in the first scan.
No credit card · No EHR integration required · Cancel anytime