Provider Network

Every rep walks in with the whole picture.

Your reps are the face of the organization. Pelica arms them before they walk in: an auto-built practice agenda with every open gap, the charts to collect, and the members to see, on the same live record the provider sees. No more spreadsheets, no more faxed patient lists, no more stale printouts. Visit prep from 90 minutes to 15.

90 → 15 min

visit prep

80+

Provider NPS

real-time

opportunity snapshot

Practice visit agenda
Auto-built · Dr. Patel
14 open quality & risk gaps
Prioritized · highest-value first
On agenda
6 charts to collect
MAO-004 rejects flagged for re-file
Queued
9 members to see this month
AWV due · recent ADT events
Ready
EMR overlay synced
Epic SMART-on-FHIR · at the point of care
Live
Agenda built in 15 minutes
Same record as the IPA · nothing stale, nothing faxed

Why provider engagement stalls

The rep is the relationship. The prep is the bottleneck.

Provider reps are the boots on the ground. They lose the visit not because they're unprepared people, but because preparing means assembling a packet from portals, spreadsheets, and faxes that's stale the moment it's printed.

90 minutes to build one agenda.

Pulling each provider's open gaps, charts, and members together by hand eats the time a rep should spend in the practice, building the relationship that actually moves care.

Stale the second it's printed.

The report is generated, the team closes a gap, and now the rep is walking in with a list that's already wrong. The provider notices, and trust takes the hit.

Another fax, another spreadsheet.

The last thing a busy provider wants is another patient list dropped on them. Data that isn't in their workflow, at the point of care, just becomes noise.

The Pelica idea

Two kinds of work. Only one needs a rep.

Your reps are great at the part that matters: the relationship, the conversation, the trust. Pelica takes the prep so they can spend their time on the practice, not the packet.

Your reps

The work only a person can do

• The face-to-face relationship with the provider
• The conversation that gets buy-in on the priorities
• The trust that makes a practice want to engage

Pelica

Everything that shouldn't need one

• Builds the practice agenda: gaps, charts, members to see
• Surfaces a real-time snapshot of every open opportunity
• Delivers it in the provider's EMR at the point of care
• Keeps the rep and the IPA on one record, never stale

How it works

One canonical record. Every practice. Real-time.

Three layers, each addressable on its own. Deployed together, the equivalent of 8 to 15 point vendors in a single platform.

01

Live data

Claims, EHR (FHIR/HL7), charts, labs, ADT, and payer SFTP drops, unified per member and rolled up by practice and provider. Tenant-isolated, BAA-covered, encrypted end to end.

02

The AI workforce

The Provider Network copilot ranks every open quality and risk opportunity for a practice, assembles the visit agenda, and keeps it current as other teams close work, so the rep always walks in with the truth.

03

Action

The agenda reaches the rep and the provider through an EMR overlay (Epic SMART-on-FHIR, Athena, eClinicalWorks) and the provider portal, so opportunities land in the workflow, not in another fax.

Built for your team

Make every provider visit count, without adding reps.

You can't put a rep in every practice every week. Pelica makes the reps you have dramatically more effective in the visits they do make.

For Provider Network & Relations leaders

Turn prep time into face time.

Stop sending reps in with a stack of stale printouts. Pelica hands them a current, prioritized agenda for every practice, so the visit is about the relationship and the close, not the paperwork.

• 90 → 15 min visit prep per practice, automated
• 80+ Provider NPS
• End to end provider incentive program, calculated and paid on one record

For the providers you serve

Get credit for the care you already give.

Opportunities show up in the EMR at the point of care, not in another spreadsheet. Providers close gaps and document conditions in the flow of the visit, and they get credit for care already delivered.

• In-EMR overlay for Epic SMART-on-FHIR, Athena, eClinicalWorks
• 1 record rep and IPA see the same live picture, never stale
• Earlier charts arriving sooner in the year than ever before

Proof, not promises

Live with the largest IPA in the country.

Delivered at HealthCare Partners, a physician-led IPA managing 200,000 lives across 1,000 providers, and live within two weeks of signing.

90 → 15 min

Visit prep per practice. A full morning of assembly becomes a quarter hour.

80+

Provider NPS. Reps show up current and credible, and providers feel it.

End to end

Provider incentive program run on one record, tied to quality and risk performance.

100%

Adoption across the provider engagement team at one of the largest IPAs.

In their words

The teams arming reps with the real picture.

Operators at our flagship IPA on what changes when the rep walks in with the truth instead of a stale list.

When a provider rep goes to look at a provider's information in Pelica, they see a real-time snapshot of those opportunities. The reps are instrumental: they're the boots on the ground, the face of the company.

Alex Wiggall
SVP, Quality & Clinical Revenue Integrity · HealthCare Partners

The last thing they want is another spreadsheet or another fax with a list of patients. I want to get providers all of this data in a way that's actually actionable for them.

Charlotte Buckley
Director of Quality Performance · HealthCare Partners

Put the data that's most important to the provider directly in the provider's hands, and communicate clearly and concisely to a provider who's already very busy seeing patients.

Bill Quinn
Director of Risk Adjustment · HealthCare Partners

Security and compliance

Built for healthcare's highest compliance bar.

Tenant isolation, encryption end-to-end, full audit trail, and contractual zero-retention with every LLM provider in use. Available on request: SOC 2 Type II report, BAA template, subprocessor list, pen-test history.

Common questions

Provider network leaders ask us this.

How does Pelica prepare provider reps for practice visits?
Pelica auto-builds the visit agenda for each practice: the charts to collect, the gaps to close, and the members to see, with a real-time snapshot of every open quality and risk opportunity. The rep walks in prepared instead of spending an hour and a half assembling a packet from portals and spreadsheets.

Does Pelica put data directly into the provider's EMR workflow?
Yes. Pelica delivers opportunities through an EMR overlay for Epic SMART-on-FHIR, Athena, and eClinicalWorks, so the most important quality and risk captures appear directly in the provider's workflow at the point of care, without extra clicks or a separate portal.

How does Pelica keep provider reps and the IPA in sync?
The rep and the IPA work from the same canonical record. When a quality or risk team closes something, the rep sees it instantly, and the reporting the rep used to assemble by hand stays accurate. There are no stale printouts and no duplicate outreach to the same practice.

Can Pelica run our provider incentive program?
Yes. Pelica can run the full provider incentive program on the same record: define the performance rules, track each provider against them in real time, and calculate and finalize the payouts tied to gap closure, quality, and risk performance.

What results has Pelica delivered for provider network teams?
Provider meeting prep dropped from about 90 minutes to 15, Provider NPS reached 80 or higher, and Pelica ran the full provider incentive program, calculating and finalizing payouts tied to quality and risk performance. Pelica was live within two weeks of signing.

Who is Pelica's provider network workflow built for?
It is built for VP, SVP, and Directors of Provider Network, Provider Relations, Provider Engagement, and Network Performance at risk-bearing organizations: health plans, IPAs, MSOs, ACOs, and medical groups. It is designed to make field reps more effective without adding headcount, and to make every provider visit count.