4 Claims Review

Claims Review includes a set of high level reports that provide a balanced analysis of the major dimensions of a benefit program. Top level reports point to areas of the plan with the most financial impact and the drill down feature makes it easy to dig into more detailed claims activity.

Claims Review is typically run yearly, quarterly, or even monthly and provides an overall analysis of plan activity for a specific group and time period.

  1. 4.1  Running New Claims Review Reports
  2. 4.2  Analysis Overview
  3. 4.3  Network Analysis
  4. 4.4  Benefit Analysis
  5. 4.5  Paid Claims Distribution
  6. 4.6  Diagnosis Analysis
  7. 4.7  Member Demographic Analysis
  8. 4.8  Provider Analysis