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Exf Health 360

Exf Health 360

Exf Health 360 provides analytical reporting and master data management for Payers and Providers. It enables different departments of payer and provider organization to run their day to day operations efficiently and provides insights with actionable data points.

Key components of EXF Health 360
  • Data warehouse on cloud implemented on a big data platform to do Operational & Analytical reporting for Claims, Membership, Billing and Providers.
  • A complete Provider MDM solution that provides the Golden copy of Providers with NPI alerts and a mobile application for Provider Directory with spatial analysis of Providers.
  • An EMPI record which is a golden copy record that can provide ID resolution across different source systems with the fuzzy logic search of the name .
  • A HIPPA compliant system where data at rest and data in motion are encrypted and decrypted.
  • A complete integrated solution for Population Health with the integration of claims and EHR data
  • A risk engine that calculates Healthcare Effectiveness Data and Information Set (HEDIS) scores and publishes for analytical reporting
  • Sentiment analysis of provider and member network.
  • Identify Fraud / Abuse detection and help to implement Revenue cycle management solutions
  • We also enable the platform with external data like Adverse events, External data providers and CMS data
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Golden Copy

  • Integrate data from EMR, EHR to make a golden copy.
  • Supports HL7, HIPAA and other formats.
  • Microservice architecture to support data as a service.
  • APIs configured to different source systems.
  • Data model to understand different data from sources.

Registries

  • Track Quality per each registry
  • Identify and tune records qualifying for patient registry
  • Identify records for care management

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