NCQA Submission-Ready Quality Reporting
Generate production-ready QRDA reports directly from HDIM measure data. NCQA schema validation, no manual rework, bulk exports at scale.
QRDA export workflow
QRDA Generation is Manual and Error-Prone
Organizations manually format measure results into QRDA XML files. Manual mapping of data elements to NCQA schema causes validation errors. Rework delays submissions and creates compliance risk.
Typical QRDA generation: 3-5 days of manual work
Validation errors: 15-25% of submissions need rework
Rework cycle: 1-2 weeks
Cost of compliance remediation: $50K-$100K per submission cycle
Automated QRDA Generation with Validation
HDIM generates QRDA I (patient-level CDA) and QRDA III (aggregate summary) directly from measure evaluation results. Built-in NCQA schema validation catches errors before submission.
QRDA I (patient-level clinical document)
QRDA III (aggregate summary)
NCQA schema validation
Bulk export: 1000+ patients/minute
What Sets Us Apart
Zero Manual Formatting
Automatic mapping from measure logic to QRDA data elements. No spreadsheets, no manual XML editing.
NCQA Pre-Validation
Reports validated against HEDIS 2024 QRDA schema before submission. No surprise rejection emails.
Bulk Performance
Generate QRDA for 1000 patients in <1 minute. Payers can export entire membership in hours.
QRDA Export Workflow
Run Measures
Execute HEDIS or custom measures. Capture numerator, denominator, and patient-level results.
Select Export Period
Choose measurement year, plan(s), and measures to export. HDIM applies all timing rules automatically.
Generate QRDA
System creates QRDA I files (one per patient) and single aggregate QRDA III. Validation runs automatically.
Validate Schema
Pre-submission validation against NCQA QRDA schema. Reports list any issues found.
Submit or Download
Submit directly to NCQA portal or download ZIP. No rework, no validation rejections.
QRDA Capabilities
HL7 CDA R2 QRDA Category I/III
QRDA Category I
Patient-level clinical documents (CDA XML). One QRDA I per patient with complete measure data.
QRDA Category III
Aggregate summary (single file). Performance rates, counts, and metadata for all measures.
NCQA Schema Validation
Pre-submission validation against HEDIS 2024 specifications. Error report with line-by-line issues.
Bulk Export Performance
Generate QRDA for 1000+ patients per minute. Entire payer membership exported in <1 hour.
Encryption & Security
Reports encrypted end-to-end. ZIP export with password protection. Audit trail of all exports.
NCQA Portal Integration
Direct submission to NCQA portal. Status tracking and confirmation receipt handling.
Customer Impact
Customer Success
Regional Payer (2M Members)
Challenge
Manual QRDA generation from 30+ plans took 2-3 weeks. Validation rejections required 1-week rework cycles.
Solution
Automated QRDA export from HDIM measure data. Direct NCQA portal submission with pre-validation.
Impact
Zero Rework on Submissions
- ✓QRDA generation time: 3 weeks → 2 hours
- ✓Validation success: 100% first-time (vs. 85% manual)
- ✓Cost savings: $180K annually (labor + rework)
- ✓Submission deadlines: Always met (no last-minute scrambles)
Customer Success
Health System
Challenge
Finance team manually formatted measure results to QRDA. Errors in data element mapping led to audit findings.
Solution
HDIM automated QRDA generation with validation. Non-technical staff can run exports.
Impact
Audit Findings Eliminated
- ✓QRDA accuracy: 99.8% (vs. 92% manual)
- ✓Staff training: None required (intuitive UI)
- ✓Audit issues: 0 (automatic validation catches errors)
Customer Success
ACO (250K Members)
Challenge
Multiple delegated payers required different QRDA formats. Creating reports for each was error-prone.
Solution
HDIM multi-plan QRDA export. Custom format mappings per plan.
Impact
Multi-Plan Reporting Simplified
- ✓Plans supported: 5 (each with unique requirements)
- ✓Submission consistency: 100% across plans
- ✓Generation time per plan: <30 minutes
Technical Specification
QRDA Standards
Export Capabilities
API Endpoints
Performance
Compliance & Certification
NCQA Schema Compliance
All QRDA files validated against official NCQA HEDIS 2024 schema. Pre-submission validation prevents rejections.
Audit Trail
Complete audit history of all exports. Who exported, when, which patients, submission status.
Data Integrity
Cryptographic checksums ensure QRDA files not modified after generation. Chain of custody documented.
Regulatory Alignment
QRDA generation aligned with CMS and NCQA current requirements. Updates released within 90 days of spec changes.
Pricing & ROI
Pricing Model
Per-Submission or Volume-Based
Typical Investment
$500-$2K per submission, or $10K-$25K/year unlimited
Typical payer: $5-10K/year cost (vs. $50K+ labor)
Typical health system: $1-3K/year
ACO: $2-5K/year
Related Capabilities
HEDIS Evaluation
52 NCQA-validated HEDIS measures. Real-time CQL evaluation, historical trending, and submission-ready QRDA exports.
Analytics & Reporting
Real-time quality dashboards. Drill-down analytics. Custom reports. Executive-to-clinical visibility.
FHIR Integration
Connect to any FHIR R4-compliant EHR in minutes. Epic, Cerner, Athena, and 20+ others. No data movement.