Actionable claims intelligence for payers, providers, and patients alike.
Transform Your Claims Data into Actionable Intelligence
Claims Analytics Healthcare
Taliun empowers healthcare organizations across the globe to make smarter, faster decisions with claims data. Whether you're a payer managing population risk, a provider optimizing care pathways, or an employer seeking to control healthcare costs, our claims analytics solutions deliver the insights you need to take action.
By transforming raw medical and pharmacy claims into structured, visualized intelligence, we help you:
- Identify high-cost claimants and cost drivers early
- Detect fraud, waste, and abuse (FWA) patterns
- Uncover gaps in care and opportunities for intervention
- Support value-based care and population health strategies
- Benchmark utilization and performance across plans and regions
Our team works with global payers, providers, insurers, and employers to uncover the full story behind your claims data, so you can improve outcomes, reduce spending, and stay ahead in a rapidly evolving healthcare landscape.
Who Benefits from Our Claims Analytics Solutions?
- Improve risk adjustment and financial performance
- Identify fraud, waste, and abuse in real time
- Benchmark claims trends across populations
- Optimize billing and reimbursement
- Monitor care quality and patient utilization
- Align services with value-based contracts
- Automate claims review workflows
- Provide transparent reporting to clients
- Spot emerging trends before they impact the bottom line
- Track chronic conditions and high-cost claimants
- Optimize plan design and vendor performance
- Manage healthcare costs proactively
Why Claims Analytics?
Claims data is often underutilized but it holds the key to:
Reducing total cost of care
Improving care quality and access
Supporting population health initiatives
Maximizing ROI on health plan decisions
Results We Achieved for Our Clients
- 18% reduction in annual claims cost for a self-funded employer
- 27% improvement in identifying high-cost claimants through predictive scoring
- 4x faster analytics reporting for provider networks
Ready to See Your Claims Data in a New Light?
Taliun’s team of healthcare data expert's partners with payers, providers, employers, and TPAs to deliver fast, scalable insights from claims data.
Request a Free Claims Data Audit https://www.taliun.com/contact-us Or contact us directly at
info@taliun.com
Frequently Asked Questions
What is healthcare claims analytics?
Claims analytics involves the review and analysis of medical and pharmacy claims to identify trends, anomalies, cost drivers, and opportunities for quality or cost improvement.
How do employers use claims data to manage costs?
Employers use analytics to monitor chronic condition prevalence, identify high-cost members early, and assess plan performance to improve benefits strategy.
What types of data do you analyze?
We work with medical, pharmacy, dental, behavioral health, and vision claims — and can integrate eligibility and enrollment data for richer insights.
Is this solution HIPAA-compliant?
Yes, all of our analytics tools and processes follow HIPAA and best practices for security and data privacy.
