Platform overview

Healthcare data analytics platform built for action

Unify claims, eligibility, pharmacy, and clinical data in one place, then deliver insights to teams without spreadsheets or fragile exports.

Claims Eligibility Pharmacy Clinical Contracts Quality
Data foundation

Bring every feed into a clean, trusted layer.

  • SFTP drops, APIs, and database extracts
  • Header mapping and code normalization
  • Client-aware schemas and tenant isolation
Analytics workspace

Build cohorts and surface trends in minutes.

  • Cohort builder with saved filters
  • Drilldowns by provider, plan, or risk
  • Shareable dashboards and exports
Operational outputs

Put insights into real workflows.

  • Worklists for care gaps and outreach
  • Scheduled refreshes and alerts
  • Audit trail for every report
What the platform offers

Everything you need to go from raw data to action

Standardize data, build cohorts, and deliver insights to operations without extra engineering. Every capability stays connected to a shared, trusted model.

Unified ingestion

Bring in messy files, claims, and clinical feeds with guided mapping.

  • SFTP intake and scheduled refreshes
  • Header mapping and validation rules
  • Automated dedupe and QA flags

Data modeling

Relate members, providers, encounters, and contracts in one place.

  • Configurable schemas and relationships
  • Reusable code sets and reference tables
  • Versioned logic with audit history

Cohorts and segmentation

Build and save cohorts for recurring workflows and reporting.

  • Filter by risk, utilization, or quality
  • Saved views for teams and clients
  • Export-ready lists with context

Dashboards and reporting

Track KPIs across claims, pharmacy, and membership in one view.

  • Scheduled reports and shared dashboards
  • Drilldown analysis by provider or plan
  • CSV exports and secure sharing

Workflow automation

Move insights into action with automated tasks and alerts.

  • Worklists for care gaps and outreach
  • Alerting for anomalies and changes
  • Recurring refresh pipelines

Governance and access

Keep data secure and aligned with organizational controls.

  • Role-based and client-scoped access
  • Audit trails for every query and export
  • Retention and approval workflows
Workflow

From intake to insight in a repeatable pipeline

A consistent process keeps your data trusted and your teams aligned. Each step stays visible, versioned, and ready for audits.

1

Ingest

Connect SFTP drops, APIs, and warehouse extracts without custom scripts.

2

Normalize

Map headers, standardize codes, and flag data quality issues.

3

Model

Relate members, providers, claims, and contracts into one schema.

4

Analyze

Build cohorts, trend KPIs, and drill down with shared filters.

5

Activate

Deliver reports, exports, and worklists to the right teams.

Modules

Built for the workflows your teams run every day

Start with the modules you need now and expand as your data strategy grows.

Claims

Claims and utilization

Identify high-cost drivers, leakage, and avoidable events.

Membership

Membership and eligibility

Track enrollment, churn, and attribution across lines of business.

Pharmacy

Pharmacy performance

Monitor adherence, high-cost drugs, and therapeutic trends.

Contracts

Contracts and provider

Align reimbursements, networks, and provider performance.

Reinsurance

Reinsurance and capitation

Understand exposure, trends, and over or under performance.

Finance

Revenue integrity

Track denials, variances, and financial risk signals.

Trust and governance

Built to keep your data secure, visible, and accountable

Controls are baked into every step so analysts and operators can move quickly without losing compliance or oversight.

Access control

Role-based permissions with client scoping keep teams in the right lanes.

Audit and lineage

Every refresh, export, and report is recorded so reviews stay easy.

Operational safeguards

Retention rules, approvals, and quality checks help reduce risk.

See the platform on your data

Bring a sample file or a live feed. We will map it, show the model, and walk through what your teams can build.