Interactive Reports

• Allows data exploration down to the most detailed level
• Unlimited user access
• Only sell to the payor community – not to brokers or plan sponsors directly
• Provides model plan modifications for individual or multi-plan offerings, and/or options for multi-tier benefit structures
• Evaluates health plan economics by readjudicating historical claim sets and providing comparative data
• Connects medical and prescription information by claimant to facilitate the evaluation and monitoring of a participant’s diseases and conditions
• Details medical/prescription patterns and utilization down to EOB level
• Protects health plans by illustrating costs by group or participant
• Separates user access and permission rights by business line segment (self-funded, fully funded, Medicare, HMO, etc.)
• Delivers user-defined capabilities for product functionality to accommodate various business line segments
• Eases stop loss disclosure process and filing
• Comparative time parameter cost driver reports to better identify and understand the correlation between utilization costs incurred and the activities that cause them
• Analyzes medical, prescription, dental, and vision benchmark plans and employee costs by procedure category, plan, place of service, SIC code, coverage area, age group, region, network, group size, gender, and enrollment type
• Isolates costs for industry mandates and other state-imposed requirements
• Provides branded, customized, full-color reports in high-resolution PDF and Excel formats