Founded in 2006 by industry veterans with first-hand experience, CODY® is an Industry leader in Governance, Risk, and Compliance (GRC) Solutions designed exclusively for health plans. We enable over 70 government-funded, commercial, and ACA health plans across 50 states and Puerto Rico to mitigate compliance risk, increase accuracy, maximize efficiencies, reduce administrative costs, and improve outcomes for plan members and providers.

CODY’s Compliance Consulting helps mitigate risk and ensure compliance—from organizational and structural design, program documents, and oversight to audit and audit support, incident management, and policy and procedures. CODY’s Operations Consulting supports all government healthcare operations—including systems, assessments, implementations, and transformations for new and existing plans. CODY’s Business Process Outsourcing and Staffing provide Member/Provider Communications (ANOCs, EOCs, SBs) and Membership support, including Enrollment, Billing, and Reconciliation.

Our CodySoft® Enterprise Platform features comprehensive suites of proprietary software and services to support Member/Provider Communications, Compliance, and Operations:

CodySoft® Member/Provider Communications:
• Plan Benefit Package Module®
• Collateral Management Module®
• Translations Services
• 508 Remediation Services
• Provider & Pharmacy Directory Module®
• CodyPrint® Print & Fulfillment
• ePresentment Module™
• Member Fulfillment, Reporting & Analytics
• Online Ordering & Fulfillment
• Direct Marketing: Data Analytics,
Member Acquisition & Retention

CodySoft® Compliance:
• Compliance Correspondence Module®
• HPMS Memo Module®
• Policy and Procedures Module®
• Risk Management Module®
• Incident Management Module®

CodySoft® Operations:
• Appeals and Grievances Module®
• Membership Suite:
• Enrollment Solution
• Billing Solution
• Reconciliation Solution

Debbie R. Mabari


PO Box 47119
Tampa, FL 33646