Abacus Insights

Founded by Rajan Khanna in 2018

Manage and unify healthcare payer data into AI-ready assets

Cost

Demo

Rating

★ People love it

Time to value

Long Setup (> 1 day)

You can use Abacus Insights to consolidate fragmented healthcare data from multiple sources into a single, governed data foundation built for health insurance payers. It connects to existing systems via pre-built connectors, normalizes messy claims, clinical, and operational data, and surfaces it for use cases like payment integrity, cost of care analysis, CMS compliance, and quality performance tracking. Health plans use it to reduce reliance on legacy data systems and prepare data for AI-driven analytics.

What Abacus Insights does

Connect disparate healthcare data sources via pre-built connectorsNormalize and deduplicate member, claims, and clinical recordsFlag improper payments using rules-based payment integrity checksGenerate compliance reports for CMS interoperability requirementsMonitor cost drivers across service lines and member cohortsTrack quality metric performance against Star rating benchmarksExport clean, structured data for downstream AI and analytics toolsPre-built connectors to common healthcare data sources and systemsNormalizes claims, clinical, and operational data into a single data modelPayment Integrity Suite to identify improper payments and billing errorsCMS interoperability compliance tools built into the data layerCost of care trend analysis at member and population levelQuality and Star ratings performance tracking for health plansSupports agentic AI workflows with clean, structured data outputs

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