Healthcare Claims Analytics
Better Risk Management
Health insurance is a numbers game. Providers who can swiftly identify trends in the constant flow of data are better able to monitor risk, manage claims, and detect fraud. Failure to do so can lead to inefficient claims processing and higher costs.
With Healthcare Claims Analytics, you will have interactive visuals and drill down details for claims, premiums, and fraud all in one place. Our plug-and-play solution is based on two decades of experience making it easier for health insurance providers to make timely and data-driven decisions. Health insurance providers are embracing modern business intelligence to unveil opportunities and risks as soon as possible.
Healthcare Claims Analytics empowers your team with key metrics from their computer, tablet, and smartphone.
- Loss ratio analysis
- Claim fraud detection by outlier
- Claims performance
- Fraud and abuse management triggers
- Insured level analysis reports
- Insightful executive dashboards