Rx & Medical Claim Analytics

The Rx & Medical Claim Analytics application is designed to analyze and optimize medical and prescription claims costs for employees. It identifies opportunities where medical procedures or visits, such as emergency hospital visits, can potentially be avoided. The application leverages pre-built formulas and an AI model developed using historical claim and prescription data. By considering doctor prescriptions and advice, the AI model can identify patterns and similarities among cases, enabling it to highlight instances where specific types of medical expenses can be mitigated.
The application has the potential to reduce employers’ annual expenditure by approximately 30%.
The application has the potential to reduce employers’ annual expenditure by approximately 30%. The project achieves these savings by identifying unnecessary medical procedures or visits, which in turn reduces the associated costs. By leveraging data-driven insights and AI technology, this project empowers employers to make informed decisions, enhance cost-efficiency, and ensure better healthcare outcomes for their employees.

Technology:

  • Azure Storage

  • Azure Data Factory

  • Microsoft Power Bi, Sql Server

Client: USA

  • Project

    Rx & Medical Claim Analytics

  • Client:

    USA