pelica.com valid

Pelica Health

AI copilots and operating system for value-based care (VBC) teams. Pelica unifies claims, EHR, pharmacy, lab, and ADT data into one canonical record, then puts an AI copilot next to every team that owns a risk-bearing contract: risk adjustment, Quality and Stars, pharmacy and Part D, provider network, care management.

Their llms.txt

The beginning of the file, from our validated copy saved 2026-10-24T10:26:21.738Z. Cached copy · Source on pelica.com

# Pelica Health

> AI copilots and operating system for value-based care (VBC) teams. Pelica unifies claims, EHR, pharmacy, lab, and ADT data into one canonical record, then puts an AI copilot next to every team that owns a risk-bearing contract: risk adjustment, Quality and Stars, pharmacy and Part D, provider network, care management.

Last updated: 2026-08-21. Per-page publication and revision dates are published as schema.org `datePublished` / `dateModified` on every URL below and mirrored in https://www.pelica.com/sitemap.xml.

Pelica Health is a Y Combinator-backed healthcare AI company building the operating system for value-based care. The platform replaces 8–15 fragmented point vendors with one integrated stack: a real-time data layer, an AI workforce of role-specific copilots, and an action layer (voice, EMR overlays, provider portal, coder workspace). HIPAA-compliant. SOC 2 Type II certified. BAA available. Tenant-isolated with zero-retention agreements with all LLM providers in use.

## Who Pelica serves

- **Health plans** — Medicare Advantage, Dual-SNP, regional Blue Cross plans. Buyers: COO, SVP Stars, SVP Risk Adjustment, SVP Pharmacy.
- **IPAs and MSOs** — Delegated risk-bearing IPAs and management service organizations. Buyers: COO, Director of Risk Adjustment, Director of Quality, VP Provider Network.
- **ACOs** — MSSP, REACH, and Clinically Integrated Networks. Buyers: ACO Executive Director, VP Population Health, CMO.
- **Medical groups** — Primary care, multi-specialty, and DSOs in value-based contracts. Buyers: CMO, COO, VP Operations.

## The six AI copilots

1. **Risk Adjustment Copilot** — Real-time HCC capture with trumping logic, V28-aware, RADV-defensible chain-of-custody. Tracks every claim through the full submission lifecycle (277CA → 002 → MAO-004 → MMR → MOR).
2. **Quality and Stars Copilot** — Unified gap closure across every payer contract. Glide-path forecasting for HEDIS and Medicare Star Ratings. Built for the ECDS transition (NCQA hybrid measures phase out by 2029, requiring 35–75x more supplemental data per measure).
3. **Pharmacy and Part D Copilot** — PDC lift on the three triple-weighted Part D adherence measures. MTM workflow. Real-time PDE-driven gap closure.
4. **Provider Network Copilot** — EMR overlay (Epic SMART-on-FHIR, Athena marketplace, eClinicalWorks). Auto-generated practice agendas. Documentation capture so providers get credit for care already delivered.
5. **Care Management Copilot** — ADT-driven transitions-of-care worklists. 5-day follow-up tracking. One outreach queue across teams (no duplicate calls).
6. **AI Data Analyst** — Cross-cutting. Plain-English questions answered in seconds with citations and the SQL it ran. Replaces the BI ticket queue.

## Key facts

- 350,000+ members served by Pelica.
- Customer outcome at our flagship 200,000-life physician-led IPA in New York: 100% team adoption, roughly 10 hours saved per user per week, 96% medication adherence on the three triple-wei
…

Related sites

Explore similar publishers →

Similar publisher descriptions and documentation. Similarity does not imply affiliation or equivalent capabilities.

Machine-readable: GET /v1/resolve?q=pelica.com · GET /v1/domain/pelica.com · this page as Accept: application/json or text/markdown · MCP lookup_domain

Automatically discovered from public files. Inclusion does not imply endorsement or publisher participation.

Claim my listing on Agent Web Map for pelica.com:
1. POST https://agentwebmap.com/v1/sites/pelica.com/claims and keep claim_id and claim_secret private.
2. Publish the proof: add the line "AgentWebMap ownership: <token>" (token from step 1) to https://pelica.com/llms.txt, or use the DNS, meta-tag or well-known method the response describes.
3. POST https://agentwebmap.com/v1/sites/pelica.com/verify with {"claim_id": "...", "claim_secret": "..."}.
4. Save the api_key from the answer; it manages the listing (PATCH https://agentwebmap.com/v1/sites/pelica.com).
MCP equivalent: tools begin_ownership_claim, then verify_domain, at https://agentwebmap.com/mcp. Docs: https://agentwebmap.com/docs#verify

Corrections or removal requests: contact the directory.