Clinical Decision Support
N

Navina

Clinician copilot that ingests data across the EHR, health information exchanges, insurance claims, and care gap files, then uses proprietary language models to classify documents and extract structure from free text, producing a consolidated Patient Portrait at the point of care. Surfaces suspected chronic conditions never explicitly documented, infers hierarchical condition categories for risk adjustment, and supports care gap closure, with every insight linked back to the underlying clinical evidence. Sold primarily into value based primary care.

Last VerifiedJuly 21, 2026
Compare Navina with other vendors
Founded
2018
Headquarters
New York, New York, United States
Website
www.navina.ai
Categories
clinical-decision-support, vbc-intelligence, autonomous-medical-coding
Assessment

Capability Axes

AI Capability
AI Centrality
A
Vendor Published

Proprietary language models do the core work. The company describes automatically classifying document types such as consult notes and imaging reports, using its own language models to extract and structure information including ICD-10 codes and clinical dates from free text, and applying segmentation algorithms to handle long multi document records. Most consequentially it surfaces suspected chronic conditions never explicitly documented before by parsing evidence across notes, imaging, medications, labs, and vitals. Inferring an undocumented condition from scattered evidence is not a retrieval task.

Autonomy and Oversight Model
A
Vendor Published

The design principle is that every insight carries its evidence, and the company builds its trust argument on exactly that. Each diagnosis suggestion is backed by clinical evidence linked to the original source, presented at the point of care for the clinician to accept or reject with one click documentation. Customer physicians specifically cite the evidence backing as what builds trust in the software. For a system suggesting diagnoses that raise risk scores and revenue, making every suggestion traceable to source is the control that separates decision support from upcoding pressure.

Model and Technology Transparency
B
Vendor Published

Architecture is described with real specificity: proprietary language models rather than a generic wrapper, document type classification, structured extraction of codes and dates from free text, and segmentation for long complex records. The company publishes an explicit position against black box models, stating insights are clearly explained and directly referenced to original clinical sources. What is not published is model performance measurement, validation methodology, or accuracy of the suspected condition inference, which is the number that matters most given what those inferences drive.

Clinical and Operational Evidence
B
Vendor Published

Quantified customer outcomes at named organizations, though vendor reported. Published figures include 70 percent time saved, 23 percent more diagnoses per visit, and 38 percent higher risk scores, with a named customer reporting 97 percent clinician adoption, 41 percent more conditions surfaced, and 94 percent of clinical insights addressed. Case studies span a multi specialty group and a large ACO. Buyers should read the risk score figures carefully: higher RAF is the customer's commercial objective but is not by itself evidence of better care, and no published analysis separates appropriate condition capture from score inflation.

AI Safety and PHI Stewardship
Not rated

No published PHI framework was located. The platform ingests an unusually wide data surface, spanning the EHR, health information exchanges, insurance claims, and payer care gap files, which is more sources than most vendors in this index touch, and no retention or training data terms were found.

Regulatory and Compliance
HIPAA and BAA Posture
Not rated

No explicit HIPAA or BAA statement was located in the company's own materials, though third party listings reference compliance with healthcare data protection regulations and business associate status is structurally required given native EHR deployment.

Security Certifications and Trust Center
Not rated

No SOC 2, HITRUST, or ISO 27001 attestation was located, and no trust center was found.

FDA and Regulatory Status
Not rated

No FDA pathway is claimed. The product surfaces documented and suspected conditions with linked evidence for clinician review rather than rendering a diagnosis, which is the positioning that keeps decision support outside device regulation under the Cures Act criteria, and the evidence linking is precisely what supports that position. The regulatory regime that actually governs this vendor is CMS risk adjustment and audit rules, where documentation supporting an HCC must meet MEAT criteria, and the company states it generates compliant documentation including HCC and CPT-II coding for audit readiness.

AI Governance and Bias Disclosure
C
Vendor Published

The company publishes a stated ethical approach to clinical AI centered on transparency and clinician trust, positioning explicitly against black box models. That is a real governance posture expressed as product design rather than a program document. What is absent is any bias evaluation, which matters here in a specific way: a model that surfaces suspected conditions from documentation density may find more conditions in patients with richer records, systematically favoring those with better historical access to care.

Integration and Deployment
EHR and Interoperability Depth
A
Vendor Published

Native in workflow and bidirectional, which is the hard version of this. The company states its solution lives natively in the EHR where clinicians already work, integrates bidirectionally with patient records enabling one click documentation, and generates visit notes synced back to the EHR. Data ingestion spans the EHR plus health information exchanges, claims, and care gap files reconciled into a single view. Third party sources cite compatibility with major EHR systems, and a co hosted webinar with a major ambulatory EHR vendor and a large medical group indicates working partnership depth rather than API access alone.

Deployment Model and Data Residency
Not rated

No hosting, tenancy, or data residency disclosure was located.

Commercial
Commercial Transparency
Not rated

No published pricing. The buyer set spans ACOs, medical groups, and value based primary care organizations where the economic case rests on risk adjustment accuracy and quality performance, which suggests per provider or per attributed life pricing, but no structure or rate is disclosed.

Setting and Specialty Coverage
B
Vendor Published

Focused on value based primary care and the organizations bearing risk in it, spanning ACOs, medical groups, and multi specialty practices, with functionality covering chart review, visit preparation, risk adjustment, quality measure and care gap closure, and documentation. The company has extended into ambient transcription combined with historical data, widening from a pre visit tool toward the full encounter. Hospital, inpatient, and specialty referral settings are outside the core positioning.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Contact the vendor
Undisclosed. Buyers are ACOs, medical groups, and value based primary care organizations; per provider or per attributed life structures would be typical but are not published. Not disclosed in vendor materials, though business associate status is structurally required given native EHR deployment. Not disclosed. Customers describe implementation as smooth with providers operational quickly, and the product deploys natively inside the existing EHR rather than as a separate system. Vendor Published

The economic case rests on risk adjustment accuracy, and the company publishes outcome figures including 38 percent higher risk scores that let a buyer model return. Buyers should think carefully about that framing: higher RAF scores are the customer's commercial objective, and no published analysis separates appropriate condition capture from score inflation, which is also the axis CMS audits scrutinize. No pricing structure or rate is disclosed.

AI Health Index

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Index Status
Last index update
July 21, 2026
The AI Health Index is an editorial reference, not a regulatory body. Vendor data is verified against published sources and public regulatory filings. Figures labeled “Estimated” have not been confirmed by the vendor. See the Methodology page for evaluation standards and limitations.
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