Innovaccer Galaxy

What it does

Innovaccer Galaxy is a connected software suite for health plans. It brings clinical, claims, pharmacy, lab, and supplemental data into one governed data model and supports payer workflows such as chart retrieval, coding, validation, gap closure, authorization, and reporting. Outputs include surfaced evidence, recommended next steps, chase lists, and audit-ready submission records with traceability to source documentation.

Payer teams can use Galaxy to move from separate point tools to one operating model across risk adjustment, quality management, and utilization management. AI agents and decision support sit inside the workflow, with human oversight. The risk adjustment area describes predictive suspecting, chart retrieval agents, and CMS-aligned RADV evidence packs.

Galaxy suits health plan operations, risk and coding teams, and quality staff who need configurable, compliance-oriented workflows. The site lists HIPAA, HITRUST, SOC 2 Type II, and NCQA certification. Pricing and access tiers are not published; the entry point is a demo request, and the deployment model is not stated.

What it can do

• Unify clinical, claims, pharmacy, lab, and supplemental data into one governed data model
• Automate chart retrieval, coding, and validation with AI agents and traceability
• Surface predictive suspect conditions and documentation gaps before, during, and after encounters
• Run multipoint gap closure across point-of-care, pharmacy, at-home, and member outreach channels
• Aggregate and validate encounter and risk data for RAPS, EDPS, and 837 submissions
• Generate CMS-aligned RADV evidence packs and run mock audits

Works with

• FHIR+ interoperability

Before you choose

• Pricing and purchase terms are not published; a demo request is the only stated route.
• Customer outcome figures are vendor-reported in case studies and should be validated for your population.
• Named EHR and claims-system connectors are not listed; confirm interoperability needs directly with the vendor.

Listed under

• Healthcare

Get started

Prospects are directed to request a demo from Innovaccer.

1. Request a demo through the Galaxy site.
2. Connect clinical, claims, pharmacy, lab, and supplemental data into the Galaxy data model.
3. Configure workflows and plan policies, benefit structures, and compliance requirements.

Pricing, trial, and free-tier terms are not published; request a demo to obtain a quote and verify costs.

We couldn’t find published prices for Innovaccer Galaxy.

Sources for this overview

Product pages, documentation, and pricing checked 29 Oct 2026. Each source supports part of the overview; availability and prices can change.

• AI-Powered Risk & Quality Platform | Innovaccer Galaxy ↗get-galaxy.ai
• AI-Powered Risk Adjustment Software | Innovaccer Galaxy ↗get-galaxy.ai

Company website

get-galaxy.ai: product, pricing and policy pages

Social accounts

Accounts the company links, and its posts on X

Human review

Checked by a person

knowledge_base

manual_review

Last checked 29 Oct 2026. Every field keeps its source and date; unknown means we couldn’t confirm it.