Flume | Healthcare Data Understood

Healthcare data, simplified.

Explore, Integrate, and Build on Your Data Estate

What you can do with Flume

Map your data estate. Build a living knowledge graph. Make every answer trustworthy. Auto integrate. On portable infrastructure you own.

Ask across the business.

One prompt. Every data source. Real answers. Flume handles query planning, schema resolution, and logic validation behind the scenes.

Estate Assessment

Review

Comprehensive data estate investigation — profiles tables, maps pipelines, classifies findings by...

Agents Overview

  1. Healthcare Actuary
    • Analysis: PMPM/PEPM calculations, trend analysis, risk adjustment, IBNR estimation, and MLR analysis.
    • Tags: PMPM, Trend, IBNR.
  2. Quick Actuary
    • Analysis: Rapid health plan metrics. PMPM, utilization rates, and cost trends in seconds.
  3. Claims Analyst
    • Analysis: High cost claimant identification, utilization pattern analysis, and anomaly detection.
  4. Steerage Report
    • Reporting: Build employer group steerage reports with network tier analysis and plan comparisons.
  5. Data Engineer
    • Engineering: Data profiling, quality validation, schema analysis, and join testing.
  6. Data Analyzer
    • Engineering: Analyze CSV or Excel files. Summary statistics, distributions, and key insights.
  7. Pattern Detector
    • Engineering: Run pattern detection on a schema to identify applicable data patterns (claims, eligibility, etc.).
  8. Adversarial Review
    • Review: Challenge assumptions, validate SQL queries, and find logic errors.
  9. Full Analysis
    • Review: End-to-end analysis workflow with prerequisites, pattern detection, and adversarial review.
  10. Cohort Explorer
    • Reporting: Find and extract patient/member cohorts by diagnosis, procedure, or demographics.
  11. Clinical Coding
    • Analysis: ICD-10 validation, DRG analysis, coding accuracy audits, and clinical documentation review.
  12. Compliance Monitor
    • Reporting: MLR calculations, regulatory filing checks, and audit trail generation.
  13. Network Analyzer
    • Analysis: Provider network adequacy, geo access analysis, and referral pattern detection.
  14. Feed Validator
    • Engineering: Source system reconciliation, feed validation, and data pipeline integrity checks.

Value Lab · Governed

Use Cases Overview

Use Cases

Name Value Pool Value Driver Priority
Premium Tax Accelerator Streamlined Reimbursement Cycle Time TBD
Early-Pay Discount Mgr Streamlined Reimbursement Discounts TBD
Variance Analysis Streamlined Reimbursement Overpayment Reduction TBD

FAQ