Provider Data Optimization
We help health insurance companies gather valuable provider and network insights and derive actionable items with the use of Artificial Intelligence (AI).
What is it?
In the highly competitive health insurance market, having relevant and timely provider network insights can crucial. We help automate the provider and network data collection process and analyze it to provide you with intelligent insights for data-driven decision making.
Our customized service approach is tailored to your specific needs in regards to types of data, frequency, benchmarks and other requirements. You own any intellectual property related to the data or AI models developed for your organization. This ensures your competitive advantage is uncompromised.
Our customized service approach is tailored to your specific needs in regards to types of data, frequency, benchmarks and other requirements. You own any intellectual property related to the data or AI models developed for your organization. This ensures your competitive advantage is uncompromised.
How Does it Work?
1. Discover: We work with you to understand your data requirements related to network performance, gaps in coverage, claims data, or other insights you require.
2. Data Mining: We help automate the data collection process by utilizing web scraping algorithms and AI-based data generation tools. All the collected data is in real time and stored in your cloud environment.
3. Data Accuracy: The mined data is validated and its accuracy verified with AI synthetic data enrichment models. This ensures 100% data accuracy and completeness. Data collection and updates can be set at specific intervals (monthly, quarterly, annually, etc., based on your needs) to ensure relevancy.
4. Analytics: We you utilize advanced data models and predictive analytics to derive network insights in relation to provider quality, geographic distribution (heatmaps, group affiliations, etc.), claims, member utilization, network rank, plan comparisons, and other performance insights. Map view of distribution and heatmaps can pinpoint gaps in coverage.
5. AI and Automation: GenAI and conversational business intelligence (BI) can be used to help streamline operations and generate appropriate action items in natural language (prescriptive analytics).
2. Data Mining: We help automate the data collection process by utilizing web scraping algorithms and AI-based data generation tools. All the collected data is in real time and stored in your cloud environment.
3. Data Accuracy: The mined data is validated and its accuracy verified with AI synthetic data enrichment models. This ensures 100% data accuracy and completeness. Data collection and updates can be set at specific intervals (monthly, quarterly, annually, etc., based on your needs) to ensure relevancy.
4. Analytics: We you utilize advanced data models and predictive analytics to derive network insights in relation to provider quality, geographic distribution (heatmaps, group affiliations, etc.), claims, member utilization, network rank, plan comparisons, and other performance insights. Map view of distribution and heatmaps can pinpoint gaps in coverage.
5. AI and Automation: GenAI and conversational business intelligence (BI) can be used to help streamline operations and generate appropriate action items in natural language (prescriptive analytics).
Benefits
Data Relevancy
Our tailored services approach ensures that we capture only the data relevant to you and validating its accuracy with AI. The data is always up-to-date and collected specifically for you.
Control Over the Data
You control what data is captured, frequency, benchmarks, and insights you would like to obtain. All the data is stored on your cloud.
Artificial Intelligence
We use AI tools to streamline data validations and monitor your network performance. The process reduces manual efforts by 70% or more.
Cost Efficiency
There are no license fees or data purchase fees associated with the service. You own the intellectual property.
Vitrin9 is a technology company with a passion for building products, audacious
ideas, and using data to unlock hidden value for customers.
ideas, and using data to unlock hidden value for customers.
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