Martlet AI review
Enterprise HCC and RADV automation with audit-ready evidence workflows.
Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026
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.
Martlet AI pros and cons
- 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
Martlet AI fact sheet, pricing and score →
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