Risk Adjustment Compliance Made Simple

Risk adjustment is a high-stakes process—and one small EDGE submission error can impact your plan’s revenue and risk scores. ClearFile turns risk adjustment regulatory filing complexity into a repeatable, trackable workflow so you never miss a step.

What We Do

Simplify EDGE submissions. Stay audit-ready. Hit every CMS milestone.

Instead of managing submissions across disconnected teams and timelines, ClearFile keeps your entire risk adjustment cycle in sync. From pre-submission planning to final CMS sign-off, our platform structures workflows by risk pool, version-controls your data, and seamlessly tracks every deliverable.

Automated Regulatory Filing

Whether you’re submitting baseline data or managing final CMS sign-off, ClearFile gives you the infrastructure to move faster—with fewer errors.

End-to-End Project Coordination
ClearFile gives your team visibility across every risk pool, deadline and deliverable.
Collaborative EDGE Submission Workflow
Coordinate with actuaries, internal teams and vendors while tracking every CMS milestone—baseline data, command executions, 90/90 thresholds, and more in a single, auditable workflow.
Audit-Ready Data Tracking
Version-control every dataset, flag inconsistencies, and maintain a full history of submissions and corrections to support RADV and internal reviews.
Regulatory Calendar & Alerts
ClearFile keeps your team in sync with weekly, monthly, and quarterly filing requirements—including recalibrations and RA commands.