---
title: Your Questions, Our Answers.
image: https://www.credohealth.com/hubfs/raw_assets/2/public/@projects/smart-growth-project/smart-growth-app/assets/images/Credo.jpg
---
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FAQ
# Your Questions, *Our Answers.*
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### [HIPAA ↓](https://www.credohealth.com/your-questions-our-answers#HIPAA)
### [Chart w/GPT ↓](https://www.credohealth.com/your-questions-our-answers#ChartFAQs)
### [Engage ↓](https://www.credohealth.com/your-questions-our-answers#Engage)
### [Inspect ↓](https://www.credohealth.com/your-questions-our-answers#Inspect)
### [Acquire ↓](https://www.credohealth.com/your-questions-our-answers#Acquire)
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## HIPAA FAQs
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## Chart w/GPT FAQs
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## Engage FAQs
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## Inspect FAQs
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## Acquire FAQs
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07-CTA
## Move faster. Work smarter. *Click less.*
Let’s Talk!
[Schedule a Demo](https://www.credohealth.com/schedule-a-demo?hsLang=en)
02-Logo
[](https://www.credohealth.com?hsLang=en)
02-Navigation
02-Copyrights
Copyright navigation
- [Master Terms & Conditions](https://www.credohealth.com/master-terms?hsLang=en)
- |
- [Privacy Policy](https://www.credohealth.com/privacy-policy?hsLang=en)
- |
- [HIPAA Security Policy](https://www.credohealth.com/your-questions-our-answers#item)
```json
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"@type" : "FAQPage",
"mainEntity" : [ {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Credo Health doesn’t access patient data on its own. We act as a secure data pipeline, pulling records at the direction of the treating provider—just like traditional chart chasing.\nIf a doctor is actively treating a patient, they have a legal right under HIPAA to access that patient’s records for care purposes, whether that’s through a faxed chart request or a digital network like Credo Health.\nWhen a provider signs a BAA with Credo Health, we are authorized to streamline the process by connecting to national data exchanges, retrieving the same records a provider would request manually, and making them usable through structured formats and clinical insights.\nEverything Credo Health does to retrieve clinical data is HIPAA-compliant, and no data is accessed unless it’s tied to a legitimate treatment relationship."
},
"name" : "How is it legal for Credo Health to access a patient’s medical record?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "When Credo Health accesses national networks to retrieve patient health records, we do so under the HIPAA-defined treatment use case, with authorization from the covered entity. That means the requesting provider is actively involved in the patient’s care and has a legal right to access relevant medical records from other facilities.\nHIPAA permits this type of data sharing when it supports informed, coordinated treatment. Providers can access records by fax, phone call, or a digital tool like Credo Health.\nCredo Health streamlines the process. We securely retrieve, aggregate, and organize clinical data, making it faster, easier, and more accurate for providers to get the information they need at the point of care."
},
"name" : "What is the treatment use case for Credo Health’s data acquisition services and why is it HIPAA Compliant? (“Treatment” Use Case)"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Under the Health Insurance Portability and Accountability Act (HIPAA), covered entities (like health plans and providers) and their business associates are permitted to access and share protected health information (PHI) for purposes of treatment, payment, or healthcare operations.\nCredo Health operates as a business associate under HIPAA, which means:\n\nCredo Health has Business Associate Agreements (BAAs) in place with its health plan or provider customers.\nThese agreements legally authorize Credo Health to access and process PHI on behalf of the covered entity for treatment and risk adjustment-related purposes.\n"
},
"name" : "Why does Credo Health require a partner to sign a Business Associate Agreement? "
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Credo Health (via Acquire) connects to national health information networks like Carequality, CommonWell, eHealth Exchange, and Healthix. These networks:\n\nOperate under a legal framework that allows real-time, point-to-point data exchange for treatment.\nRequire participants to comply with data use agreements, certification, and security protocols.\nAllow business associates acting under treatment authority (and documented BAAs) to access records for purposes like risk adjustment, suspecting, and care planning.\n"
},
"name" : "How does Credo Health Access National Health Information Networks (HINs)?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes, Credo Health’s access is legal because it:\n\nUses a documented treatment use case\nHas valid user authentication and authorization processes\nRetrieves data on behalf of a treating entity or plan with appropriate permissions\n"
},
"name" : "Is Credo Health’s access to these systems legal?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "This component of our technology, which we call Acquire (our data acquisition agent), uses proprietary partnerships and non-PHI datasets (such as provider directories, claims-derived metadata, and statistical models) to infer where a patient likely received care. It doesn’t directly expose PHI unless and until those locations are used to retrieve records via legal methods (e.g., manual chases or HIN queries).\n\nThe AI pipeline flags potential gaps in care.\nCredo Health then fills those gaps using permissible retrieval methods under the treatment use case.\n"
},
"name" : "How does Credo Health generate a full appointment history (AI + Datasets)"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Manual record retrieval is a long-standing, HIPAA-compliant process where:\n\nCredo Health, acting on behalf of a plan or provider, sends record requests to outside provider offices\nThese are standard release-of-information (ROI) workflows\nRecords are returned and ingested into Acquire for suspecting and data reconciliation\n\nBecause these chases are initiated under an active BAA for treatment purposes, and proper safeguards are in place, they’re fully legal."
},
"name" : "How does Credo Health’s manual retrieval process work in a compliant fashion?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Credo Health can legally retrieve and process clinical data because it:\n\nOperates as a business associate under HIPAA\nHas BAAs with covered entities (health plans or providers)\nUses the treatment use case for real-time and manual data access\nComplies with the rules and frameworks governing national health information exchanges\n"
},
"name" : "Can you summarize what makes Credo Health HIPAA compliant?"
} ]
}
```
```json
{
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"@type" : "FAQPage",
"mainEntity" : [ {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Chart w/GPT is a GPT-powered clinical copilot that lets providers ask natural language questions and get fast, structured answers from a patient’s full electronic medical record (EMR). Think of it as a secure, healthcare-grade AI that replaces tedious chart review with simple, conversational prompts."
},
"name" : "What is Chart w/GPT?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "It works inside your existing electronic health record (EHR) system or as a standalone secure web app, making it easy to use across settings. No complex setup or new systems required."
},
"name" : "How does Chart w/GPT integrate with our workflow?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Anything from “What meds is the patient currently on?” to “Have they had signs of worsening heart failure?” or “Are they overdue for colorectal screening?” Chart w/GPT pulls from structured and unstructured data to provide fast, sourced responses."
},
"name" : "What types of questions can I ask?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Chart w/GPT is powered by Acquire (Credo’s Data Acquisition Agent), which delivers the most complete view of a patient’s health history by combining proprietary locations-of-care data, national exchange access, and targeted chart retrievals."
},
"name" : "Where does Chart w/GPT get its data?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Chart w/GPT is purpose-built for clinical use. It meets HIPAA security standards, operates under BAAs, and never sends data to consumer-grade AI tools."
},
"name" : "Is it HIPAA-compliant?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Chart w/GPT is trained for clinical documentation, not casual conversation. It handles medical shorthand, misspellings, and fragmented notes, and provides audit-ready, explainable outputs that align with clinical workflows."
},
"name" : "How is this different from using ChatGPT or a general AI assistant?"
} ]
}
```
```json
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"@type" : "FAQPage",
"mainEntity" : [ {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Engage is Credo Health’s suite of point-of-care copilots that deliver real-time clinical intelligence to providers through EHR integrations or secure web apps."
},
"name" : "What is Engage?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Engage copilots assist with chart prep, diagnosis capture, risk adjustment, quality performance, and specialist screening. They surface relevant insights based on complete clinical data, not just claims."
},
"name" : "What do Engage Copilots do?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Engage copilots are powered by Acquire (Credo’s Data Acquisition Agent), which delivers a near-complete view of a patient’s health history by combining proprietary locations-of-care data, connections to national health information exchanges, and targeted manual record retrievals."
},
"name" : "What data powers Engage?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Engage copilots embed directly into leading EHRs using SMART on FHIR integrations, or run independently as secure web apps—adapting to your workflow and clinical environment."
},
"name" : "Does Engage work inside the EHR?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "No. Engage copilots (including Chart w/GPT) can be accessed via a secure web app, allowing you to request patient records on demand, have natural-language conversations with the patient’s record, and get accurate, real-time answers without digging through charts."
},
"name" : "Does Engage need to be plugged into my EHR in order to work?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "The HCC Copilot surfaces net-new HCC suspects in real time, provides supporting evidence, and generates MEAT-ready documentation to support faster, more accurate risk coding."
},
"name" : "How does Engage support risk coding and diagnosis capture?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "The HEDIS Copilot identifies open care gaps across both structured and unstructured data, enabling higher Stars ratings and fewer missed measures."
},
"name" : "How does Engage support quality performance?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Engage operates under HIPAA-compliant protocols, with data access governed by BAAs and appropriate permissions."
},
"name" : "Are Engage copilots HIPAA-compliant?"
} ]
}
```
```json
{
"@context" : "https://schema.org",
"@type" : "FAQPage",
"mainEntity" : [ {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Inspect uses a clinical large language model trained on real-world healthcare documentation. It doesn’t rely on brittle logic or keyword matching, reducing noise and false positives."
},
"name" : "What makes Inspect different from other diagnosis extraction tools?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "No. Inspect can work on any dataset you supply. But it delivers even stronger results when paired with Acquire, which ensures a more complete clinical history."
},
"name" : "Does Inspect only work with Credo Health’s data acquisition engine?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Each diagnosis includes source metadata, a timestamp, and a narrative explanation. This supports provider trust and defensible audit processes."
},
"name" : "What does Inspect provide for each diagnosis?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Inspect handles HL7v3, CCDA, XML, plaintext, RTF, PDF, scanned images (TIFF, PNG, JPG), and base64."
},
"name" : "Can Inspect process scanned and unstructured content?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Inspect identifies patients who meet strict inclusion or exclusion criteria for cardiology, diabetes, oncology, orthopedics, hospice, and other interventions—based on rich clinical context, not just claims."
},
"name" : "How does Inspect support care programs and specialist outreach?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Inspect processes PHI under a valid treatment use case, backed by BAAs."
},
"name" : "Is Inspect HIPAA-compliant?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "By capturing more accurate and complete diagnoses—especially from unstructured data—Inspect improves RAF scores, reduces rework, and positions coding teams to submit confidently before the claim is filed."
},
"name" : "How does Inspect improve RAF performance?"
} ]
}
```
```json
{
"@context" : "https://schema.org",
"@type" : "FAQPage",
"mainEntity" : [ {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "We use three integrated methods:\n\nNational network access – Acquire retrieves clinical documents through major HINs under the Treatment use case as a Business Associate.\nFull appointment history – Acquire’s machine learning pipeline identifies high-value encounters missing from digital retrievals, flagging gaps through proprietary partnerships.\nManual retrieval – For encounters that don’t return digitally, Acquire initiates manual chases and ingests the records for completeness.\n"
},
"name" : "How does Credo Health retrieve clinical records?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Acquire fills the gaps. Its appointment history capability flags high-value encounters that are missing and retrieves them, ensuring nothing is left behind."
},
"name" : "What happens when digital retrievals don’t return everything?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Acquire retrieves and processes clinical records before claims are submitted, enabling upstream coding, improving RAF accuracy, and strengthening audit readiness."
},
"name" : "How does Credo Health support early HCC capture?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "While Inspect drives suspecting, Acquire supplies critical data inputs including:\n\nPharmacy fill data (claims + CCDA)\nCustomer-submitted claims files\nEHR / data warehouse integrations\n\nAll data is normalized across formats (HL7v3, CCDA, XML, plaintext, RTF, PDF, PNG, TIFF, JPG, base64) and flows into Inspect for downstream analysis."
},
"name" : "What additional data powers Acquire’s suspecting capabilities? "
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Inspect identifies patients who meet strict inclusion or exclusion criteria for cardiology, diabetes, oncology, orthopedics, hospice, and other interventions—based on rich clinical context, not just claims."
},
"name" : "How does Inspect support care programs and specialist outreach?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "Yes. Inspect processes PHI under a valid treatment use case, backed by BAAs."
},
"name" : "Is Inspect HIPAA-compliant?"
}, {
"@type" : "Question",
"acceptedAnswer" : {
"@type" : "Answer",
"text" : "By capturing more accurate and complete diagnoses—especially from unstructured data—Inspect improves RAF scores, reduces rework, and positions coding teams to submit confidently before the claim is filed."
},
"name" : "How does Inspect improve RAF performance?"
} ]
}
```