Risk Score Calculation
The Medicare Advantage Risk Score Calculation API calculates risk scores for Medicare Advantage beneficiaries using the CMS Hierarchical Condition Category (CMS-HCC) Model. The API enables health plans, providers, and other stakeholders to estimate risk scores based on individual demographic information, diagnosis codes, and other relevant data. By adhering to standardized data elements and…
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1 endpoints
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the data below comes straight from the public marketplace listing.
Risk Score Calculation endpoints
| Method | Endpoint | Description |
|---|---|---|
| Risk | ||
| POST |
/api/v1/Risk/MA /api/v1/Risk/MA |
The Medicare Advantage risk score calculation endpoint provides a way to determine risk scores for Medicare Advantage enrollees. Risk scores are used to adjust payments for each… |
Risk Score Calculation pricing
| Plan | Price | Rate limit | Quotas |
|---|---|---|---|
| BASIC | Free | — |
|
