Benefit Informatics, Inc

Put your healthcare data to work

Benefit Informatics, a Benefitfocus company, consolidates all of your healthcare data into one location. We help users understand and control benefit costs by creating cost transparency.

  • Integrate Bring together multiple data sources.
  • Analyze Identify cost drivers and trends.
  • Forecast Create “what if” models.
  • Monitor Evaluate claims data on an ongoing basis.

Benefit Informatics serves more than: 80 payers | 6,900 employers | 3.8 million members

Integrate member eligibility and
claims data from multiple sources:

  • Medical
  • Dental
  • Vision
  • Pharmacy
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Identify cost drivers and trends.

  • Benchmark plan performance to industry standards
  • Develop payee, payment, diagnosis and procedure analysis
  • Provide full disclosure to reinsurance
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Evaluate variations in plan designs
by creating “what if” models.

  • Develop a comprehensive view of future plan costs
  • Include medical, pharmacy, dental and vision plans
  • Estimate future benefit costs using actual claims data
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Continually assess data, trends
and costs.

  • Receive shock claim and stop-loss trigger alerts
  • Calculate financial impacts on health plan and healthcare costs
  • Analyze current data and model future health plans
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Featured News

Benefit Informatics has integrated the Johns Hopkins Adjusted Clinical Groups (ACG®) System for clinical predictive modeling.

Featured News - EBS-RMSCO

Featured News

Leading benefits administrator EBS-RMSCO, Inc. has added web-based data integration, analysis and reporting from Benefit Informatics.

Featured News - SSAE 16 Type II

Featured News

Benefit Informatics has completed the SSAE 16 Type II process. This confirms Benefit Informatics's internal processes and controls.