By integrating medical and/or pharmacy claims data from Carriers / TPAs, we automatically populate participation credits for members' annual wellness visits, cancer screenings, dental visits, and more. Our Claims Analytics Dashboard uses three key data sources—Medical and Pharmacy Claims, Biometric Screening Results, and the Know Your Number Risk Score Report—to identify eligible members with comorbidities and to provide comprehensive reporting.
Data Analytics and Claims Reporting
Utilizes three key data sources to identify eligible members with comorbidities:
- Claims Analytics identifies diagnosed members and verifies care compliance
- Biometric Screening Results identify the "walking sick" amongst the population
- Know Your Number Risk Tracker Score Report identifies opportunities for lifestyle modification and readiness for change
Standard Reports
- Big 8 Chronic Condition Management (CCM)
- Population Health Management
- Preventive Care Compliance
- Health Program Eligible Outreach
- With more reports to come!
Claim Analytics Identifies Eight Chronic Conditions
Our advanced dashboard identifies eligible populations for eight chronic conditions while tracking age and gender-appropriate preventive care compliance and 53 clinically validated gaps in care.
- Diabetes
- Heart Disease
- Hyperlipidemia
- Musculoskeletal Disorders (MSD)
- Obesity
- Respiratory issues
- Stress
- Sleep disorders
Ready to Get Started?
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