Your team gets MCO files from Aetna, Meridian, Molina, and half a dozen other payers, each in a different format. Someone has to normalize that data, figure out which patients actually have open gaps versus which ones already completed their visit but the provider coded it wrong, then make dozens of calls to get them scheduled. Multiply that across multiple clinic locations and your coordinators spend 80% of their time on coordination instead of care.
Your coordinators toggle between 5+ MCO portals and Athena all day, manually checking which gaps are real
80% of time spent on coordination, not care
Patients who already completed their screening show as 'open' because the visit was coded wrong
False positives tank your quality scores
Phone tag eats entire shifts. Patients don't pick up. Voicemails go unreturned
35% of outreach attempts never connect
Excel trackers are outdated the moment someone saves them. Status is invisible across sites
No real-time visibility into gap closure progress
The real problem
of care gaps flagged by MCOs are documentation errors, not missed screenings. Your team wastes hours chasing gaps that are already closed.
35%
in wasted resources
Linear Health automates care gap identification, patient outreach, and appointment scheduling. Your coordinators handle complex cases while our AI handles volume.
AI ingests gap data from payers, EHRs, and quality reporting systems automatically.
Cross-references payer claims with EHR records to identify true care gaps and eliminate false positives.
Prioritize outreach based on clinical urgency, patient engagement likelihood, and quality measure impact.
Contact patients via SMS, email, and voice AI with personalized care gap information.
AI helps patients book mammograms, colonoscopies, A1C tests, and preventive screenings.
Track gaps through completion and generate reports for UDS, HEDIS, and payer programs.
The big "AI workforce" platforms promise to automate everything on one platform. In practice, that means your care gap closure is competing for engineering attention with six other product lines and you're paying for breadth you'll never use.
Every sprint, every feature request, every customer conversation is about closing more care gaps. We're not splitting attention across seven product lines.
Enterprise platforms take 3 to 6 months because they're configuring a general-purpose tool. We're purpose-built, so we ship faster.
Our team knows the difference between Meridian and Molina file formats, understands UDS reporting timelines, and won't try to sell you modules you don't need.
We complement your existing stack. Keep your EHR, your analytics, your patient portal. We handle the gap closure workflow that sits between all of them.
Adjust the sliders to match your organization. The savings update in real time.
This estimate only counts coordinator time savings. It does not include recovered quality bonuses from higher closure rates or revenue recovered from billing error corrections.
“Our team of eight used to spend entire days chasing care gaps across five different MCO files, manually checking if patients had already been seen, and calling patients who never picked up. Linear Health ingests all of our MCO data, catches the billing errors we were missing, and handles the patient outreach automatically. We're closing gaps we didn't even know were recoverable.”

Audrey Pennington
COO, Aunt Martha's Health & Wellness
We built for the reality of community health centers: multiple MCO plans per patient, multi-site scheduling complexity, UDS deadlines, and teams that are already stretched thin.
"We're drowning in manual follow-ups, calls, and paperwork."
Automated outreach via SMS, email, and voice AI replaces hundreds of manual calls per month. Patients respond at 3x the rate of phone calls.
"Our Excel trackers are always outdated."
Real-time dashboards replace spreadsheets. Gap status updates automatically as patients schedule, complete visits, or get flagged for billing corrections.
"Athena handles some things, but there's no automation for what really matters."
We close the loop Athena can't: MCO file to patient outreach to scheduled appointment to documented closure. Native integration, not a bolt-on.
"We looked at the big platforms, but they're built for health systems, not for us."
Those platforms need 3 to 6 months to implement, charge enterprise pricing, and treat your FQHC like a small afterthought. We built for your reality from day one.
The financial reality: Nearly 50% of FQHCs operate with negative margins. Every unclosed care gap is revenue left on the table in your value-based contracts. Every miscoded visit is a bonus you earned but never collected.
By March 31, 2026, payers must publicly report PA approval rates and response times. The January 2027 FHIR-based API mandate is next. Organizations that automate now will be positioned.
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