The APCM platform.

Run in-house without spreadsheets. Improve patient care while capturing revenue that otherwise slips away.

athenahealthmarketplace partner

Trusted by primary care practices, independent medical groups, house‑call providers, and multi‑specialty care teams.

DTC Family Health
Gem Family Medicine
MedPrevent
Nouriche Health
San Juan Clinic
Iris Medical Group
Elevate Health Group
Care Dimensions

One workflow from enrollment to claim.

Prepare enrollment and coding, manage the panel, generate care plans, turn clinical signals into follow-up, and submit ready claims in bulk.

Automate enrollment and coding.

Verify eligibility. Sematic suggests the supervising provider and prepares the APCM claim from coverage and the problem list, then guides consent and enrollment.

John Smith73m

UnitedHealthcare Medicare Advantage PPO · High Country Rural Clinic

Sematic pre-fills coverage, claims info, and consent fields for enrollment

Step
Result
Status
Eligibility
Medicare active · Tier 2
Verified
Provider
Dr. Priya Shah
Suggested
Claim prep
G0557 · E11.22 · N18.32
Auto-filled
Consent
Verbal · Jun 17, 2026
Documented
Confirm enrollment
The team at Nouriche Wellness and Aesthetics
Nouriche Wellness and Aesthetics

APCM that works in practice.

“They actually understood Athena and how clinics operate. That made implementation much easier.”

Kasy Mire Romero, MHA, PPMC · Operations Manager, Nouriche Wellness and Aesthetics

enrolled patients
0
recent monthly claims growth
0%

The practical details.

A clearer APCM workflow starts with a few good questions. Here are the ones we hear most.

Is this another tool my team has to learn?

Sematic follows the APCM work your team already does: enroll the patient, build the plan, follow up, document activity, and bill the month. Those steps simply live in one guided workspace instead of across spreadsheets, chart review, and billing queues.

How does Sematic work with athenahealth?

Sematic connects through the athenahealth workflow, so teams can launch from patient context, use chart and coverage data, and keep care and billing documentation organized without rebuilding the record elsewhere.

What if we are just starting APCM?

Sematic supports practices launching from zero as well as teams scaling an existing program. Onboarding covers patient identification, staff workflow, consent, billing cadence, and the operating metrics your team needs.

Is Sematic built for compliance-sensitive work?

Yes. Sematic is built for clinical and revenue operations with HIPAA expectations, BAAs, role-based access, audit logs, and traceable eligibility and billing evidence.

Make next month feel lighter.

See how your team can enroll more patients, keep care moving, and close billing with less manual work.