Transform Disparate Healthcare Data into Actionable Insights
Our robust healthcare analytics solutions offer complete transparency into your data and converts raw clinical and claims data into actionable insights.
Our solution + service model pairs our leading products with expert advisory services to help you make informed business decisions and improve value-based outcomes.
Explore our patented and award-winning healthcare data analytics and technology solutions.
Healthcare Data Integration (HDI)
Healthcare Data Integration (HDI) ingests, standardizes, and enriches disparate clinical, claims, and social determinants of health (SDOH) data. Identify at-risk populations and uncovers gaps in supplemental benefits coverage through your 360-degree member profile.
The Hub transforms and enriches raw disparate data assets into a business-ready environment for analysis. Accelerate the development of internal analytics by integrating your own business intelligence tools and building independent self-service analyses.
Revenue & Payment Integrity Suite
Revenue & Payment Integrity Suite applies complex analytic models that are consistently re-trained and refined by artificial intelligence and machine learning. Identify revenue cycle management improvement opportunities across all markets through risk documentation improvement, data integrity evaluations, premium reconciliation, payment integrity and coordination of benefits (COB), and augmented quality efforts. Two-way evaluations achieve complete, accurate and compliant revenue.
- Risk Integrity – Identify and prioritize undocumented risk gaps
- Data Integrity – Ensure complete and accurate data submissions
- Premium Integrity – Identify and recover mistaken premium payments
- Payment Integrity – Ongoing claims payment accuracy
- Value-Based Reimbursement – Complete and accurate provider revenue capture
Activate client data through proprietary analytics, data modeling, and expert advisory to improve performance.
Engage modernizes the way healthcare data is communicated with providers to improve clinical, quality, and risk outcomes.
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