Pelica

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Pelica is the AI operating system for value-based care. It unifies claims, EHR, pharmacy, lab, and ADT data into one live record and deploys AI agents across quality and Stars, risk adjustment, pharmacy and Part D, care management, and provider network. The agents do the work end to end: member outreach, HEDIS care gap closure, suspect documentation, ADT-triggered transitions of care, provider directory verification, and follow-up. Built for health plans and the risk-bearing groups they delegate to, Pelica lets teams scale relationship work without adding headcount. SOC 2 Type II certified, HIPAA compliant, BAA available.