Case Studies

A health plan administrator sends claims data to Healthalytica® via an
encrypted, HIPAA-compliant connection

Data is processed with our Insight Engine technology and finds a $375
claim for a ‘Comprehensive first-time office visit’

Claims history is checked, and shows this is an established patient,
with many prior visits to this doctor’s office

Claim is denied. Doctor resubmits claim for ‘Established patient –
routine office visit’ for $175

Plan saves $200