Navina
Clinical AI copilot for United States value-based care organisations. Navina merges EHR, health information exchange and claims data into a single patient view, then surfaces HCC diagnoses, care gaps and visit documentation inside the clinician's existing record.
What is Navina?
Navina is a clinical intelligence platform built by Navina Technologies Ltd. for organisations paid on outcomes rather than volume — what the United States healthcare market calls value-based care. Its premise is that the information a clinician needs already exists, but is scattered across the electronic health record, health information exchanges, insurance claims and payer care gap files, in formats nobody has time to read. The engine ingests those sources and reconciles them into what Navina calls a Patient Portrait. It classifies document types, then applies proprietary language models to pull ICD-10 codes and clinical dates out of free text, with segmentation designed for long multi-document records. From that base it runs three things: a suspected conditions engine that flags chronic problems never formally documented, HCC inference that reaches beyond the diagnosis list to improve risk scoring, and continuous monitoring of preventive care gaps such as screenings and vaccinations. Generative AI then drafts MEAT-compliant documentation. Navina reports 360 million documents ingested and 500,000 previously undocumented conditions identified over twelve months, with a 77% acceptance rate on its recommendations. The product is sold as four modules. Clinician Copilot covers chart review, ambient transcription, note generation and one-click orders and referrals. Risk Adjustment surfaces evidence-backed HCC suggestions for clinicians and coders. Quality Management scrubs payer care gap files and pushes alerts into the clinical workflow. Analytics tracks RAF, HCC breakdown and HEDIS satisfaction, supports both HCC V24 and V28, and exports to a business intelligence tool by API or raw file. Everything is designed to appear inside the EHR rather than in a separate tab, with bidirectional integration; athenahealth, Epic and Veradigm are the systems shown. Buyers are physician groups and health systems, ACOs and MSOs, and health plans. Navina claims more than 20,000 clinicians and care team members, 86% weekly active providers and 3.5 million lives impacted. It was ranked #1 Best in KLAS 2025 for Clinician Digital Workflow, a second consecutive award, and an independent American Academy of Family Physicians study measured nine minutes saved per chart review and a 23% drop in physician burnout.
What it does
- Reconcile EHR, health information exchange and claims data into one coherent patient view
- Surface suspected chronic conditions that have never been explicitly documented
- Infer applicable HCC categories and improve RAF accuracy at the point of care
- Generate visit notes from ambient conversation, with E/M and MEAT documentation support
- Close quality care gaps with the supporting clinical evidence attached
- Produce audit-ready documentation including HCC and CPT-II codes
- Track RAF, HCC breakdown and HEDIS measure satisfaction on organisation-wide dashboards
When to use Navina / When not to
A quick filter to help you decide if Navina is the right fit.
When to use Navina
- Primary care physician groups and health systems working under risk-bearing value-based contracts
- ACOs and MSOs that need consistent documentation and quality performance across a provider network
- Health plans running Medicare Advantage, ACA Marketplace or Managed Medicaid programmes
- Risk adjustment and medical coding teams buried under retrospective chart review
- Quality teams chasing HEDIS measure satisfaction and care gap closure at scale
When not to use Navina
- Healthcare organisations outside the United States: every mechanism referenced is a US programme (HCC, RAF, CMS, HEDIS, RADV, Medicare Advantage)
- Solo practitioners or small practices without an integrable EHR, since only athenahealth, Epic and Veradigm are shown
- Buyers who need to evaluate and purchase software on their own: there is no trial, no free plan, no price and no self-service sign-up
- European buyers with strict GDPR requirements, as the site never mentions the regulation and hosts data in the United States only
- Teams looking for a standalone note-taking or transcription tool rather than a full value-based care platform
How to use Navina
A typical end-to-end flow, from setup to results.
- Submit the form at navina.ai/demo — presented as 'Book a strategy call' or 'Get a demo' — since there is no self-service sign-up
- Scope the engagement with Navina's team: modules needed, segment (provider group, ACO or MSO, health plan) and volume
- Integrate Navina with the organisation's EHR; athenahealth, Epic and Veradigm are the systems shown on the site
- Connect the surrounding data sources: health information exchanges, insurance claims and payer care gap files
- Open a patient chart in the EHR and read the reconciled summary, designed as a two-minute review before the visit
- Let the ambient scribe capture the consultation, which Navina reconciles with history, labs and consult notes
- Review the evidence-backed HCC suggestions and care gap alerts surfaced during the encounter
- Accept the generated documentation, which syncs back to the EHR, and issue orders, referrals or patient letters in one click
- Have the quality team work the automatically scrubbed care gap file and exchange notes with clinicians
- Track RAF, HCC breakdown and HEDIS measure satisfaction on the dashboards, or export the data by API to an existing BI tool
Pros & Cons
Pros
- Every insight is linked back to the underlying clinical evidence, which is the reason customers repeatedly give for trusting it
- Runs inside the existing EHR with bidirectional integration rather than as one more separate tab
- Unusually strong external validation: #1 Best in KLAS 2025 for a second consecutive year, plus an independent AAFP study
- Adoption figures rarely seen on clinical software: 86% weekly active providers and a 77% acceptance rate on recommendations
- Covers the whole chain — documentation, risk adjustment, quality and analytics — instead of a single link in it
- AICPA SOC 2, ISO 27001:2022 and HIPAA badges are displayed, and a chief information security officer is named on the leadership page
- Financially solid: USD 100 million raised in total, including a USD 55 million Series C led by Goldman Sachs Alternatives
Cons
- No price is published anywhere: no pricing page, no tier, not even an order of magnitude before a sales call
- No terms and conditions are published; the /legal section contains only the privacy policy and privacy chart
- No data processing agreement and no business associate agreement are published, on a product that handles patient records
- The word GDPR does not appear once on the site, and data is hosted in the United States only, on AWS in North Virginia
- Nothing is said about whether customer data trains the models, and no opt-out is documented
- The value of the platform is tied to United States programmes — HCC, RAF, HEDIS, CMS, RADV — and does not transfer elsewhere
- Only three EHRs are shown, and there is no mobile app, no free trial and no free plan
Pricing & Plans
Navina publishes no prices. There is no pricing page, no published plan, no permanent free tier and no free trial announced anywhere on the site, and a full search of the thirteen pages collected returned no amount and no currency. The only route to a figure is commercial: the form at navina.ai/demo, presented as 'Book a strategy call' or 'Get a demo'. The pricing model is therefore contact-sales, which is consistent with an enterprise platform sold to physician groups, ACOs, MSOs and health plans rather than to individual clinicians.
Data, GDPR & hosting
A consolidated view of how Navina handles your data.
GDPR overview
There is no GDPR implementation to report. The word GDPR appears nowhere on Navina's site — neither in the visible text nor in the underlying HTML of the thirteen pages collected. What the privacy policy publishes instead is a United States framework: California Civil Code Section 1798.83, a Californian Do Not Track notice and CCPA-style rights. A generic sentence mentions the right to complain to a local data protection supervisory authority, but it is never tied to European law. No Article 27 representative is designated, no data protection officer is named, and no data processing agreement is offered. Data is stored on AWS in North Virginia, in the United States, with no mention of standard contractual clauses or European transfers. This is silence rather than an explicit refusal: Navina neither claims compliance nor denies it. Privacy requests go to privacy@navina.ai.
Who owns the data?
Navina publishes no terms and conditions, so the contractual ownership of customer data is simply not disclosed on the site. The privacy policy is explicit on one point only: records concerning the end users of Navina's customers are processed on behalf of those customers — the medical institutions and practitioners — and not for Navina's own account. The privacy chart confirms the categories involved, which include medical records and insurance information. Individuals exercise access, correction and deletion rights by writing to privacy@navina.ai. With no data processing agreement and no business associate agreement published, the allocation of responsibilities between Navina and a customer organisation is left entirely to the negotiated contract.
Reuse rights
Because no terms and conditions are published, nothing on the site states what a customer may do with the data it takes out of the platform. In practice the Analytics module is built for reuse: Navina says its clinical insights can be pushed into an existing business intelligence dashboard through an API connection, or exported as raw files in a single click. On Navina's own side, the privacy policy allows the company to use personal data to deliver its services, detect fraud, repair errors, run audits and meet legal obligations, and to disclose it to regulators and courts, or to a third party in a merger, sale or bankruptcy. One clause deserves attention: once information has been anonymised or de-identified, Navina states it may use and disclose that Anonymous Information to third parties without restriction, including to improve its services. The third parties named are AWS, Webflow, HubSpot, Google Analytics and Hotjar, the last three concerning the marketing website rather than the clinical platform.
Data retention & training
Hosting summary
Section 4 of the privacy policy is short and unambiguous: 'Storage: AWS - North Virginia - US'. No other region is mentioned and no data residency option is offered, so a European or non-American customer should assume United States jurisdiction over its data. The privacy chart names the third parties involved — AWS for cloud hosting, Webflow for the website, HubSpot for customer relationship management and Google Analytics for measurement — and the privacy policy adds Hotjar; the last four concern the marketing website rather than the clinical platform. Security is described in generic terms as appropriate technical, organisational and security measures, with the caveat that exposure cannot be guaranteed against. The core technology page adds strict data governance, HIPAA compliance and encryption. Three compliance badges appear in the footer: AICPA SOC 2, ISO 27001:2022 and HIPAA. A chief information security officer is named on the leadership page, but there is no trust or security page, no published report and no formal subprocessor list.
Things to keep in mind
Risks and trade-offs to weigh before adopting Navina.
- No terms and conditions are published, so the contract governing the service is invisible until a commercial engagement is under way
- No data processing agreement or business associate agreement is offered publicly, although the platform handles medical records for healthcare organisations
- The privacy policy allows anonymised or de-identified data to be disclosed to third parties without restriction, a clause worth negotiating
- Retention is never quantified: data is kept 'until we no longer need the information', with an internal policy that is referenced but not published
- Compliance is asserted through SOC 2, ISO 27001 and HIPAA badges in the footer, with no trust page, no report and no formal subprocessor list behind them
- Suggested diagnoses and generated notes can encourage automatic acceptance; the clinician remains responsible for what is documented and billed, and risk adjustment carries audit exposure
- Usage figures are inconsistent across the site itself, which advertises both 10,000+ and 20,000+ clinicians, and most impact numbers are self-reported
Setup & Integrations
Technical difficulty
Two different levels apply. The project itself is heavy: Navina must be integrated bidirectionally with the organisation's EHR and connected to health information exchanges, claims and payer care gap files, which is IT and data work at organisation scale, not an installation an end user performs. No public documentation, API page or implementation guide exists, and no deployment timeline is published. Day-to-day use is the opposite: clinicians work inside their usual record, and customers describe providers being operational within days.
Deployment
Integrations
Behind Navina
Fundraising
Social
Resources
All the official URLs gathered for verification and reference.
Frequently asked questions
Who is Navina built for?
How much does Navina cost?
Is there a free trial or a free plan?
Which EHRs does Navina integrate with?
Where is the data hosted?
Is Navina GDPR compliant?
Is customer data used to train the models?
Is there a mobile app or a public API?
What independent evidence supports the product?
What is the minimum age to use the service?
Should you pick Navina?
Navina is one of the rare clinical AI products whose claims can be checked against something other than its own homepage. A #1 Best in KLAS ranking for a second consecutive year, an independent study run by the American Academy of Family Physicians, a named customer list that includes Privia Health, agilon health and Summit Health, and a USD 55 million Series C led by Goldman Sachs Alternatives all point in the same direction. The design choice that matters most is also the least glamorous: insights appear inside the EHR the clinician already uses, and each one carries a link back to the clinical evidence behind it. That is what an 86% weekly active rate is really measuring. The reservations are documentary rather than functional. Navina publishes no terms and conditions, no data processing agreement and no business associate agreement, which is a striking gap for a vendor handling patient records on behalf of medical institutions. It never mentions the GDPR, hosts data exclusively on AWS in North Virginia, and says nothing about whether customer data trains its models. Compliance is signalled by three badges in the footer — SOC 2, ISO 27001:2022, HIPAA — with no trust centre or report behind them. Pricing is invisible until a sales call. The other limit is deliberate: everything here is anchored in United States payment mechanics. Outside HCC, RAF, HEDIS and CMS programmes, the platform loses its purpose. For a US organisation carrying real risk on its contracts, Navina is a credible candidate; the questions to force onto the table before signing are contractual and privacy-related, not technical.
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