Founded in 2006 by industry veterans, CODY® leveraged its first-hand experience to fill a vital need and support the regulatory compliance and operational challenges facing health plans. As a leader in healthcare technology and Governance, Risk, and Compliance (GRC) Solutions, our mission is to provide a fully integrated Enterprise Solution to empower the way health plans operate.
We enable over 70 government-funded, commercial, and ACA health plans across 50 states and Puerto Rico to mitigate compliance risk, increase accuracy, maximize efficiencies, reduce administrative costs, and improve outcomes for plan members and providers.
Medicare Advantage & Prescription Drug Plans (MAPD) is our core business. Our highly-skilled workforce of subject matter experts (SMEs) is nationwide. Nearly every member of our team has worked with or for a health plan. Our depth and breadth of industry knowledge continue to drive our mission to develop the most practical “innovative firsts” and “best-in-class solutions” to support the ongoing challenges facing health plans. Our products and services are comprehensive, cost-effective, and results-driven to help clients maximize operational performance and achieve a favorable return on investment (ROI).
So, they can better serve their valued health plan members, reduce administrative costs, generate new revenue, and thrive in a highly competitive, regulated marketplace.
- Founded: 2006
- Founder and CEO: Deb Mabari, MBA
- Headquarters: Tampa, Florida
- Health plans supported by CODY®: over 70 government-funded, commercial, and ACA health plans across 50 states and Puerto Rico
- Memberships: Medicaid Health Plans of America (MHPA), Health Care Compliance Association (HCCA), American Translators Association (ATA)
- ACAP Preferred Vendor: Association for Community Affiliated Health Plans
CodySoft® Enterprise Solutions:
- Collateral Management Module®
- Plan Benefit Package Module®
- Translation Services
- 508 Remediation Services
- Allied Central Dashboard Module™
- Provider & Pharmacy Directory Module™
- CodyPrint® Print & Fulfillment
- ePresentment Module™
- Sales & Marketing Exchange Module™
- Compliance Correspondence Module®
- HPMS Memo Module®
- Policy & Procedures Module®
- Incident Management Module™
- Risk Management Module®
- Appeals & Grievances Module®
- CodySoft Membership Suite™
- CodySoft® Enrollment Solution
- CodySoft® Billing Solution
- CodySoft® Reconciliation Solution