Chiral - Risk Adjustment & RADV Intelligence Solution by N-21.ai
N-21.ai, Inc. · Marketing & Sales
Certification per AWS Marketplace.
Evidence tier Source Confirmed · 4 captures on record
What the publisher says
As described on AWS Marketplace.
**Chiral** is an agentic AI platform purpose-built for risk adjustment in **CMS-capitated senior healthcare**, with an initial focus on **Medicare Advantage** and **Dual-Eligible populations**.
Rather than surfacing insights alone, Chiral drives execution across the full risk adjustment lifecycle, including **patient, encounter, documentation, coding, RAF, payment, audit, and feedback**, operating as a single, real-time system of record for CMS outcomes.
Show the rest of the publisher’s description (10 more lines)
Built on a **human-in-the-lead model**, Chiral's in-production agents handle **suspecting, HCC extraction, chart retrieval, and RADV audit support**, while linking every submitted code to its supporting clinical evidence for a transparent, explainable, audit-ready trail.
Your coding and analytics teams stay in control of **clinical judgment**. Routine retrieval, **MEAT validation**, and evidence assembly run continuously in the background, improving consistency and capture with every review cycle.
The platform ingests structured and unstructured data across **claims, clinical records, labs, encounters, and pharmacy** through an interoperability layer, and embeds directly into existing payer and provider workflows.
Chiral extends beyond core risk adjustment into **managed outcomes and value-based care**, including quality and Star Ratings support, care coordination and transitions-of-care automation, utilization and case management, and population health.
**Defend every diagnosis:** Audit-ready evidence packs and immutable, explainable trails engineered to withstand CMS RADV scrutiny and extrapolation.
**Prevent clawback exposure:** Flag unsupported HCCs and documentation gaps before submission, not after an audit notice.
**Keep humans in the lead:** Coders and compliance staff review, override, and approve while the AI handles exhaustive retrieval and validation.
**Capture accurate, consistent RAF:** In-production agents embed into existing workflows for prospective and retrospective review at scale.
**Secure by attestation and sovereign:** HIPAA-compliant, SOC 2 Type II, and supported by a signed BAA. Deployed inside your AWS environment so no PHI leaves your control.
Operated by **N-21 AI**, Chiral gives **Medicare Advantage plans, Duals programs, and risk-bearing providers** a single, real-time system of record for defensible CMS outcomes.
Highlights
Highlighted by the publisher on AWS Marketplace.
Audit-defensible RAF, end to end: Chiral drives the full risk adjustment lifecycle, including suspecting, HCC extraction, coding, and RADV audit support, and links every submitted diagnosis to its supporting clinical evidence for a transparent, explainable, audit-ready trail. Defensible RAF, not just higher scores.
Agentic AI built for Medicare Advantage and Duals: in-production agents ingest claims, clinical, lab, encounter, and pharmacy data through an interoperability layer and embed directly into existing payer and provider workflows for accurate, consistent HCC capture at scale across prospective and retrospective review.
Human-in-the-lead and secure by attestation: your coders and compliance teams keep clinical judgment while Chiral automates retrieval, MEAT validation, and evidence assembly. HIPAA-compliant, SOC 2 Type II, with a signed BAA, deployed inside your AWS environment so no PHI ever leaves your control.
Agent build and provenance
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The layer-by-layer build, the evidence behind each claim, the risk basis and the cross-marketplace links are open to any account. Some rows are disclosed, some the source leaves Unknown; a free account shows you which.
Compliance
- FedRAMPConfirmedNot listed90%, registry-checkedNo FedRAMP Marketplace entry matched this vendor's domain, checked 2026-08-27registry recordas observed 2026-08-27
Confirmed means matched to a public authoritative registry. Claimed means the vendor or its listing states it, not yet cross-checked. A framework not shown was not found in any source we hold, which is not evidence against it. Not listed means a scoped registry check found no match for this vendor's domain: a No is a scoped registry check, not a compliance judgment. Confidence bands: 95% domain-verified, 90% registry-checked, 80% self-attested, 70% weak signal. Self-attested items marked “vendor's site” are gathered from the vendor's own website and are not verified by us.
Plans and pricing as listed
2 listed- Units
- Units
Refund terms
As stated by the publisher on AWS Marketplace.
Refunds are handled on a case-by-case basis. To request a refund, contact our support team at info@n-21.ai and we'll respond within 2 to 3 business days.
Sources
Publisher resources
1 linkLinked repositories
Unknown means this listing does not publish a repository. It is not a statement that the code is closed, and a linked repository is not a claim that the publisher wrote it: the registry computes that relationship privately and does not publish it.
Evidence risk is the share of the build you cannot see before you deploy, not a security rating. Sign in to see the layer-by-layer basis for this band.