Analytics ready data powering Ad-hoc reporting

Samuel Jaideep

Associate Product Architect

Razia Sultana

Senior Product Engineer

The Customer had a requirement to Process several sources of claims data and join them with the Eligibility data to get Insights into Cost Summaries.  The existing Data management process was very manual and error prone. There were several reporting needs for this data and the following Business use cases were needed to be delivered.

  • Spend and Visit distribution by facility settings, speciality, procedure etc.
  • Cost comparison and variations by facility settings
  • Cost saving opportunities by procedure

The Customer had severe issues in scaling the existing solution and applying or Modifying Business rules.

D Cube Leveraged IRIS self-service wrangling tool to prepare analytics ready data for various ad hoc reports as well as customer cost management application. IRIS is used to

  • Filter out redundant and invalid claims in D Cube standard structure created by consolidating claims and eligibility data from various Third-Party Administrators (TPAs)
  • Define episode of care by grouping claims that overlaps over a time period
  • Map episode level claims data with CPT master table and define procedures
  • Match with master list and filter out relevant & required Revenue codes, DRG and modifiers associated with each procedure
  • Aggregate cost by procedure, geography, network and plan type for cost comparison summary report

IRIS solution created the following impact.

  • DDS IRIS Solution reduced the Data processing timeframe from weeks to less than 2 days.
  • Additional Business rules were very easy to add and the time to market was extremely short.
  • The Solution enabled the Analyst at the organization be more productive and leverage the power of Cloud.

ABOUT D CUBE

D Cube Analytics is an Integrated Data Sciences company focused on extracting transformational insights from syndicated, real world and digital data to increase revenue realization, avert revenue loss, enhance internal productivity and improve end user experience for global Pharmaceutical organizations.

D Cube is pioneering a Digital Transformation wave within BioPharma by leveraging new age tools and methodologies like Artificial Intelligence, Machine Learning and Robotic Process Automation to greatly improve the productivity of workforce and significantly enhancing speed to insight. Through this new age product-based approach to delivering analytics, we greatly reduce the cost and complexity of deployments and provide measurable value across multiple business functions.

Find out how D Cube can help you to elevate your market access intelligence and develop rigorous strategies that enable success in the market, throughout the product life cycle.

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Reach out to us at info@dcubeanalytics.com for information and questions.

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