Business Intelligence Reporting for Claims Data

Normalized Data

Drill Down Capabilities

Dashboard Views

EDI + Appealed Claims Data

Real-time Business Intelligence

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Is your hospital or health system ready for 

visualization of denial trends with drill down to root causes?comprehensive denial management analytics?


Discover actionable insights with Optics

Optics combines your claims and denial data with our clinical and technological expertise to deliver real-time business intelligence dashboards on claims trends that have been historically inaccessible. Access Optics analytics reporting from desktop or mobile to ensure you have the right data at your fingertips to make data-driven decisions to implement or improve a denial avoidance program.

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Comprehensive Analytics & Data

Aggregates and normalizes holistic data from EDI X12 and appealed claims for real-time trend visualizations with drill-down capabilities

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Clinical Claims Expertise

Leverage our team’s expertise for reporting recommendations and minimizing internal implementation resources

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Customizable Dashboards

Choose how to present your denial data trends to efficiently and effectively capitalize on actionable insights

Client Solutions Example

Hospital Claims Data Reporting

For a hospital facing an increase in coding inaccuracies, the revenue cycle management team can benefit from a dashboard of downcoding data by payer with drill down capabilities that is accessible in real-time – even from an app!

Check out this Optics example of a customized dashboard solution that this hospital’s finance staff can access and utilize in weekly departmental meetings. As users click into the claims data, it details:

  • Targeted codes

  • Downcoding performed by specific payers
  • DRGs targeted by specific payers
  • Appeal success per payer, place of service, or code assigned



Comprehensive Technology

Our technology is built on a centralized AWS supported data lake platform to combine real-time 835i/837i and appeal/denial data from all of your data sources. We integrate this data repository with our healthcare expertise to normalize the right data so your revenue cycle management teams can create accurate reports providing a visual landscape into your denial trends – empowering your team to make confident decisions regarding your claims management process.

What is a data lake?

A data lake is a centralized system of both structured and unstructured data that allows our team to aggregate claim appeal data from data streams (multiple data sources) and normalizes data into visual, customizable reports.


Healthcare Provider Expertise

We are not only a healthcare technology company but one who specializes in the claims management process. We’ve combined our years of health system and hospital denial management experience with the latest technologies to develop a comprehensive reporting solution for you – one that we utilize internally to manage our business.

Who is a 

Business Solutions Architect (BSA)?

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Learns your business, data sources, and reporting objectives

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Liaises between your organization and our clinical coding SMEs

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Delivers business intelligence reports in a framework of easy-to-navigate dashboards

Why Optics?

Customize this flexible, real-time reporting and analytics framework to fit your organization’s needs. Plus, benefit from:

  • Applying best practices from experienced data and denial management teams
  • Growing with scalability
  • Getting started with minimal internal resources


Customized Reporting

Optics delivers customized reporting solutions that transforms all claim and appeal data sources into a single data source. End-users have the ability to tailor data information, data frequencies, and viewing styles to customize reporting trends into one intuitive dashboard. All of your claims/denial data can be aggregated, analyzed, and benchmarked to assess your organization’s performance, and identify areas of improvement.