Our unique combination of health provider claims data and advanced analytics helps boost insurance risk management enabling loss ratio improvements. Actionable insights on health providers enables you to take the most appropriate course of action to mitigate fraud and target waste and abuse in health insurance claims.
Control and Manage Claims Associated Costs
Identify and act on opportunities to a larger area of claims investigation and highlight drivers impacting your organization’s margins.
Improve Risk Management With Real-Time Actionable Insights
Speed up claims workflows using advanced data and analytics to change practices and improve operations and financial performance.
Identify Claims Inflation
More comprehensive insights help identify increased billing patterns and combat medical bill-related abuse.
Boost Network Management
Analyze medical professionals and providers by segments to devise unique network management strategies for each segment. Uncover volume/pricing and discount inconsistencies by segment.