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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/Abacus Insights
Abacus Insights

Abacus Insights

Founded by Rajan Khanna in 2018

Unify fragmented healthcare payer data into organized records for compliance and cost management

Pricing model

Demo

Rating

★ People love it

Time to value

Long Setup (> 1 day)

You can use Abacus Insights to connect fragmented healthcare data into a single source of truth for health plans. It gathers information from operational, clinical, and digital sources using pre-built connectors. The system assists health plans in managing payment integrity by identifying savings and stopping improper billing. It also supports CMS interoperability compliance mandates, tracks cost of care trends, and monitors clinical quality metrics to improve Star ratings. Health insurance teams can organize member records, run analytics, and feed structured data directly into internal workflows.

What Abacus Insights does

Connect disparate payer database systemsAudit claim payments for billing discrepanciesGenerate CMS compliance reportsTrack patient care expenses by categoryAnalyze member quality measure complianceStandardize clinical data from external providersUpdate member records across operational systemsPre-built connectors to integrate diverse clinical and operational data sourcesPayment integrity monitoring to detect and stop improper claimsCMS interoperability tools to meet federal compliance requirementsCost of care tracking to analyze medical cost trendsQuality performance tracking to monitor and improve Star ratingsStandardized data pipeline designed specifically for health plans

Pricing breakdown

Pricing model: Book a demo

Tutorials & Demos

Frequently asked

HL7/FHIR APIs, AWS HealthLake, Snowflake Data Cloud, Salesforce Health Cloud, Epic/Cerner EHR (via API), Microsoft Azure Health Data Services

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Abacus Insights, health plan data, payer intelligence, healthcare data integration, payment integrity, CMS interoperability, cost of care management, Star ratings, clinical data connectors, health insurance analytics, claims data management, member data aggregation, healthcare compliance, payer analytics, healthcare data infrastructure