Martlet AI
Martlet AI: Enterprise HCC and RADV automation with audit-ready evidence workflows. Ranked #26 of 36 in AI Medical Coding Software by our editors (5.9/10); pricing: Pricing on request; best for enterprise RADV and HCC audit preparation.
At a glance
- Editor score5.9 / 10
- PricingPricing on request
- Best forEnterprise RADV and HCC audit preparation
- Free planNo
- Autonomous codingYes
- Facts checked28 Sep 2026
Where it wins
- Automates retrospective HCC coding, closure, and prospective suggestions
- RADV mock audits, MEAT checks, evidence links, and audit packets
- Supports FHIR, HL7, CCD, claims, and scanned-PDF OCR ingestion
Where it doesn't
- Diagnosis-only scope limits use beyond risk-adjustment workflows
- Pricing requires a sales conversation for an annual license
- No named third-party integrations are listed
Our verdict on Martlet AI
Martlet AI is healthcare software for health plans, health systems, and risk-bearing providers managing HCC risk-adjustment work. It covers retrospective coding and case closure, prospective point-of-care condition suggestions, and RADV audit preparation. The platform processes EHR, claims, and document data, validates diagnoses against CMS and MEAT requirements, links codes to page-level evidence, routes exceptions to reviewers, and exports submission-ready files and audit packets. Deployment can run in a customer-controlled on-premises, private-cloud, or air-gapped environment, keeping PHI within the organization’s network.
The published plan structure centers on an Annual license configured to the customer’s workflow. Martlet describes pricing by contracts and lives, with a sales conversation required. The strongest functional emphasis is RADV readiness: mock audits and exposure modeling, MEAT validation, CMS requirement checks, one-click evidence packets, reviewer exception queues, dual review, versioned model decisions, and a complete audit trail. RAF analytics and coding-performance reporting add oversight for teams monitoring results across their program.
Martlet accepts FHIR R4, HL7, CCD, claims, and scanned PDFs through OCR, then supports cloud or self-hosted deployment. Its API and self-hosted options can fit organizations with controlled infrastructure requirements, while email and phone support provide direct vendor contact. The product’s diagnosis-only coding scope makes it more specialized than a broad medical coding suite, and no named third-party integrations are listed. Teams focused on enterprise HCC operations, compliance checks, and RADV evidence should consider Martlet AI; organizations seeking wider coding domains or a self-service purchase path may prefer another system.
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Martlet AI pricing
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Martlet AI fact sheet
| Free plan | No |
|---|---|
| Paid from | Not verified |
| Autonomous coding | Yes |
| Risk-adjustment coding | Yes |
| Coding validation | Yes |
| Audit trail | Yes |
| Coding scope | Diagnosis |
| Deployment | Hybrid |
| Compliance support | Yes |
| Deployment | Cloud, Self-hosted |
| Compliance & security | HIPAA |
| Support | Email, Phone |
| Built for | Mid-market, Enterprise (editorial estimate) |
| Pricing | Pricing on request (source) |
| Website | martlet.ai |
| Facts checked | 28 Sep 2026 |
Alternatives to Martlet AI
- Wolters Kluwer Coder WorkbenchEnterprise chart review software combining AI-assisted diagnosis coding with regulatory audit workflows.9.3
- Solventum 360 Encompass SystemA broad hospital coding and revenue cycle system with cloud and on-premises options.9.1
- AGS Health Computer-Assisted CodingCloud-based coding support with NLP suggestions, worklists, encoder and audit tools.8.8
See all Martlet AI alternatives →
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Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026
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