Checking every insurance payment against the contract

DashPoint Analytics built a system for a healthcare billing firm that checks whether insurers paid what their contracts promise. Its totals match the old system within 1%, and its biggest reports load about 4 times faster.

99%+ match with the legacy system it replaced

The problem

A healthcare billing firm checks insurance payments for several medical groups, looking for claims that were underpaid. They were using an aging reporting tool. Every new client meant weeks of manual setup, and analysts spent their days waiting on slow reports they could not change.

What we built

One central data platform that brings in claims data for every client on a schedule and keeps each client separate, plus a web app built for the analysts. They can see the big picture, click down to a single claim, save the views they use most, group results their own way and export what they need.

Outcome

Totals match the old system within about 1%, so the firm could switch over with confidence. The heaviest reports load about 4 times faster. Adding a new client is now a settings change, not a custom project.

  • Fabric Lakehouse
  • Spark
  • GraphQL API
  • React
  • .NET
  • Azure

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