MA-Sync

Clarity for Every Medicare Advantage and Managed Care Plan

Payer-aware AI that interprets levels, carve-outs, exclusions, and documentation expectations in real time.

ChatGPT Image Feb 5, 2026, 11_12_07 AM

Every Medicare Advantage plan has its own rulebook

Different levels. Different carve-outs. Different documentation requirements.

Even when your team delivers excellent care, Medicare Advantage variability creates risk, denials, and missed opportunities.

MA-Sync eliminates the guesswork.

MA-Sync uses payer-aware AI to monitor documentation and compare it against plan rules.
It surfaces insights tied to level changes, carve-outs, exclusions, and defensibility.

Immediate clarity without manual chart review.

Illustration of payer aware software reviewing Medicare Advantage documentation and plan requirements on a digital screen.

Why Medicare Advantage workflows break

Even highly experienced reimbursement and case management teams run into:

Inconsistent Medicare Advantage plan rules

Level changes tied to subtle documentation shifts

Documentation that meets care needs but not payer specificity

Delayed identification of carve-outs or exclusions

Denials tied to missing or misaligned supporting evidence

Manual review that takes hours per case

Difficulty tracking differences across dozens of MA plans

These are not coding issues. They are visibility issues created by Medicare Advantage complexity.

MA-Sync fixes this.

How MA-Sync Works

Payer-aware intelligence that turns Medicare Advantage complexity into actionable clarity.
Plan-aware review and defensibility

Understand Plan-Specific Requirements

Reads documentation through each Medicare Advantage plan’s unique rules to surface what matters.

AI-powered documentation monitoring and verification for Medicare Advantage reimbursement

Reduce Manual Chart Review

Automatically monitors documentation so teams spend less time digging through charts.

Real-time Medicare Advantage reimbursement insights surfaced by payer-aware AI

Actionable Insights in Real-Time

Flags level changes, carve-outs, exclusions, and risk signals early so teams can act.

Customer Success

How payer-aware AI performs in real Medicare Advantage environments.

 

“MedaSync is one of the best decisions we’ve made.
It ensures we capture every dollar for the care we’re already providing.”

Adam Cusner
CEO, Lionstone Healthcare

Lionstone improved plan-level clarity, documentation defensibility, and confidence across Medicare Advantage plans using payer-aware AI.

 

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