Medical Claims Analytics

Would you like some insight into individual and aggregate risk profiles to help make your benefits platform more financially viable?

Our medical claims analytics program allows you to rapidly integrate eligibility information, medical claims, pharmacy claims, health risk assessment results, and case management data to help you:

  • medical-claimsIdentify high-risk individuals
  • Reveal case management or disease management opportunities
  • Measure ROI of wellness and disease management activities
  • Improve plan and benefit design
  • Develop a long-term healthcare strategy to address the needs of the total employee population

The analysis process is automated through intensive data mining and predictive modeling techniques, enabling you to make medical management and financial decisions in a more effective and timely manner.

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