Feature-rich Power BI reports save claim settlement costs

About the client

The client is one of the leading providers of employee benefits to members of the agri-business community. The company works with organizations ranging from small family farms to larger corporate agricultural businesses to provide comprehensive healthcare solutions tailored to each business’s needs. The client offers a full range of services, from acute and episodic care to disease management and prevention.


Client requirement
  • The client faced critical discrepancies in data quality between the Oracle Source database, staging repository, and DataMart.
  • The lack of processes to validate claim eligibility before settlement resulted in increased claim settlement costs and a significant waste of resources.
  • The basic report functionality with SSRS and Power BI limited necessary insights into key metrics.
Solution
  • PreludeSys streamlined the reporting process by crafting new features to improve the readability of SSRS and Power BI reports. Also, we resolved data quality problems within DataMart.
  • We established an efficient resolution procedure for non-compliant claims submissions and provided an end-to-end system validation that identified members who didn’t meet the eligibility criteria for submitting claims.

Benefits
  • PreludeSys streamlined the reporting process by crafting new features to improve the readability of SSRS and Power BI reports. Also, we resolved data quality problems within DataMart.
  • We established an efficient resolution procedure for non-compliant claims submissions and provided an end-to-end system validation that identified members who didn’t meet the eligibility criteria for submitting claims.

Technology

SQL Server, Power BI