Integrated Data is Effective Data
Benefit Informatics integrates data from multiple sources, consolidating information in one central data warehouse, making it easy to review and analyze health benefits spending. With integrated data, our clients can make informed decisions while reducing administrative complexity.
From analyzing claims activity for hidden trends to identifying high-performing providers and opportunities to control costs, integrating your data gives you the information you need for effective benefits planning.
What Do You Need Your Data to Tell You?
Claims, member eligibility, benchmark, clinical, financial and even prescription data are integrated in one place. Base integration requires paid claims and eligibility information. From there, our clients can enrich data analysis and reporting capabilities by including:
- In-process claims
- PBM/RX claims
- Fixed cost and fee information
- Reinsurance reimbursement amounts
- Pre-certification details
- Case management notes
Benefit Informatics can integrate data from multiple adjudication systems, providing daily refreshes of data and access to data for multiple reporting scenarios. We also provide technical and process support for data loading and management.
Employers can:
- Integrate multiple data sources
- Identify cost drivers and trends
- Analyze procedures, diagnoses and providers
- Monitor plan activity, utilization and trends
- Automate reporting to CFO, HR and others
- Drill down from plan level to individual claims
- Benchmark plan performance to industry standards
- Evaluate wellness and disease management programs
- Model plan design changes based on actual claims data
Brokers can:
- Provide standard and specialized reporting for clients
- Consolidate multiple clients’ data into one data warehouse
- Compare client health plans to each other or book of business
- Benchmark plan performance to industry standards
- Create plan models using actual plan data
Consultants can:
- Analyze client activity, performance and benchmarks
- Identify cost drivers and trends
- Create custom ad-hoc reports
- Drill down from high level to individual claims
- Provide access to client data at multiple levels
- Access data that is updated as often as daily
Carriers can:
- Access plan information immediately without IT resources
- Integrate multiple employers, offices, regions
- Provide employer/employer group access to analytics and reports
- Allow users at multiple levels to access client data
- Control access to PHI and other vital information
- Design and build plan models quickly