◆  Revenue Recovery Intelligence — 26 Domains ◆  $8.4M Prior Authorization Admin Cost Reduction ◆  63% TAT Reduction — Authorization Turnaround ◆  $12.4M Annual RAF Revenue Recovery ◆  88% HCC Capture Rate — Best Practice Target ◆  Stars Rating 3.5 → 4.0 — $4.8M Quality Bonus ◆  34% Payment Integrity Analyst Productivity Improvement ◆  $6.8M Provider Activation Revenue Recovered ◆  Care Management ROI 2.4x → 6.8x ◆  26 Intelligence Datasets ◆  26 Executive Dashboard Intelligence Packs ◆  26 Healthcare Operational Improvement Programs ◆  365+ Operational Intelligence APIs ◆  Finance Partner-Confirmed Benefits Realization ◆  DMAIC Methodology — All 10 Projects Pre-Built ◆  Control Plans Included — Gains Sustained Permanently ◆  Revenue Recovery Intelligence — 26 Domains ◆  $8.4M Prior Authorization Admin Cost Reduction ◆  63% TAT Reduction — Authorization Turnaround ◆  $12.4M Annual RAF Revenue Recovery ◆  88% HCC Capture Rate — Best Practice Target ◆  Stars Rating 3.5 → 4.0 — $4.8M Quality Bonus ◆  34% Payment Integrity Analyst Productivity Improvement ◆  $6.8M Provider Activation Revenue Recovered ◆  Care Management ROI 2.4x → 6.8x ◆  26 Intelligence Datasets ◆  26 Executive Dashboard Intelligence Packs ◆  26 Healthcare Operational Improvement Programs ◆  365+ Operational Intelligence APIs ◆  Finance Partner-Confirmed Benefits Realization ◆  DMAIC Methodology — All 10 Projects Pre-Built ◆  Control Plans Included — Gains Sustained Permanently
Intelligence Dataset Marketplace

Enterprise Intelligence Datasets

Commercial intelligence datasets built for healthcare, insurance, financial risk, supply chain, payment integrity, revenue cycle, population health, and advanced analytics organizations.

Dataset Portfolio

Commercial Dataset Catalog

Each dataset includes its own page, buyer-focused strengths, sample download, and license purchase options.

Utilization Management Intelligence

Prior Authorization Intelligence Dataset (PAID)

Healthcare organizations spend billions of dollars annually managing prior authorizations. Delays, denials, inconsistent decision-making, administrative burden, and inefficient workflows negatively impact patient access, provider satisfaction, and financial performance.

Starting at $999 →

Revenue Recovery Intelligence

Healthcare Underpayment Recovery Dataset (HURD)

Hospitals, health systems, provider groups, and revenue cycle organizations frequently receive payments below contracted reimbursement levels, resulting in substantial revenue leakage that often goes undetected.

Starting at $999 →

Healthcare Appeals Intelligence

Healthcare Appeals Intelligence Dataset (HAID)

Healthcare organizations often appeal denied claims without clear visibility into success probability, financial value, root causes, or optimal prioritization strategies.

Starting at $999 →

Medicare Advantage Risk Adjustment Intelligence

Medicare Advantage Risk Adjustment Dataset (MARAD)

Medicare Advantage organizations struggle to identify coding opportunities, suspect conditions, RAF optimization opportunities, and risk adjustment revenue improvement opportunities across large member populations.

Starting at $999 →

Clinical Documentation Improvement Intelligence

Clinical Documentation Improvement Dataset (CDID)

Incomplete, inaccurate, or non-specific clinical documentation creates reimbursement loss, coding inaccuracies, audit risk, compliance exposure, and quality measurement challenges.

Starting at $999 →

Medical Necessity Decision Intelligence

Medical Necessity Decision Dataset (MNDD)

Utilization Management teams face inconsistent medical necessity decisions, high review volumes, regulatory scrutiny, and increasing pressure to make faster, more defensible authorization determinations.

Starting at $999 →

Healthcare FWA Intelligence

Healthcare Fraud, Waste, and Abuse Dataset (HFWAD)

Healthcare organizations lose billions annually due to fraudulent billing, wasteful utilization, abusive provider behavior, and improper payment activity.

Starting at $999 →

Provider Credentialing Intelligence

Provider Credentialing Intelligence Dataset (PCID)

Health plans and provider organizations struggle to manage credentialing, enrollment, sanctions monitoring, recredentialing, and network participation activities at scale.

Starting at $999 →

Denial Prevention Intelligence

Denial Prevention Intelligence Dataset (DPID)

Healthcare organizations often discover denial issues after claims are submitted, resulting in avoidable rework, revenue loss, administrative expense, and payment delays.

Starting at $999 →

Claims Edit Intelligence

Claims Edit Intelligence Dataset (CEID)

Claims are frequently denied or delayed because of coding edits, payer edits, NCCI conflicts, MUE violations, and reimbursement rule failures.

Starting at $999 →

Workers Compensation Claims Intelligence

Workers Compensation Claims Intelligence Dataset (WCCID)

Workers compensation carriers, employers, and TPAs struggle to manage claim costs, litigation risk, fraud exposure, medical utilization, and return-to-work outcomes.

Starting at $999 →

Provider Network Optimization Intelligence

Provider Network Optimization Dataset (PNOD)

Health plans and provider networks struggle to maintain adequate access, optimize provider performance, reduce referral leakage, and improve network efficiency.

Starting at $999 →

Member Churn Prediction Intelligence

Member Churn Prediction Dataset (MCPD)

Health plans lose members due to dissatisfaction, competition, service issues, benefit changes, and engagement challenges, resulting in revenue loss and membership instability.

Starting at $999 →

Readmission Risk Intelligence

Readmission Risk Intelligence Dataset (RRID)

Hospitals face financial penalties, quality challenges, and increased costs due to avoidable readmissions and ineffective post-discharge interventions.

Starting at $999 →

Population Health Risk Intelligence

Population Health Risk Dataset (PHRD)

Healthcare organizations struggle to identify high-risk populations, prioritize interventions, manage chronic disease burden, and improve overall population health outcomes.

Starting at $999 →

Care Gap Detection Intelligence

Care Gap Detection Dataset (CGDD)

Health plans and provider organizations frequently miss preventive care opportunities, chronic disease interventions, screenings, and quality measure activities that directly impact outcomes, Star Ratings, HEDIS performance, and reimbursement.

Starting at $999 →

Pharmacy Rebate Intelligence

Pharmacy Rebate Intelligence Dataset (PRID)

PBMs, health plans, and pharmacy organizations struggle to maximize rebate opportunities, optimize formulary performance, and manage increasingly complex manufacturer rebate programs.

Starting at $999 →

340B Opportunity Intelligence

340B Opportunity Intelligence Dataset (340BID)

Covered entities frequently fail to identify eligible savings opportunities, contract pharmacy opportunities, compliance risks, and program optimization opportunities within the 340B ecosystem.

Starting at $999 →

Healthcare Contract Variance Intelligence

Healthcare Contract Variance Intelligence Dataset (HCVID)

Healthcare organizations routinely experience reimbursement discrepancies, contract misalignment, payment variance issues, and revenue leakage that are difficult to identify and quantify.

Starting at $999 →

Healthcare Pricing Transparency Intelligence

Healthcare Pricing Transparency Dataset (HPTD)

Employers, health plans, providers, and consumers often lack visibility into healthcare pricing, reimbursement variation, and market cost differences across providers and geographic regions.

Starting at $999 →

Insurance Claim Denial Intelligence

Insurance Claim Denial Intelligence Dataset (ICDID)

Insurance carriers and claims organizations experience high volumes of denied claims, inconsistent denial patterns, payment delays, appeals costs, and operational inefficiencies that negatively impact financial performance.

Starting at $999 →

Insurance Fraud Detection Intelligence

Insurance Fraud Detection Dataset (IFDD)

Property & casualty insurers lose billions annually to fraudulent claims, organized fraud schemes, exaggerated losses, and improper payment activity.

Starting at $999 →

Property Risk Insurance & Intelligence

Property Risk Insurance & Intelligence Dataset (PRIID)

Underwriters, insurers, lenders, and risk organizations require deeper visibility into property risk exposure, loss drivers, environmental risk, and underwriting risk factors.

Starting at $999 →

Commercial Credit Risk Intelligence

Commercial Credit Risk Dataset (CCRD)

Financial institutions, lenders, investors, and commercial organizations struggle to identify borrowers, customers, and counterparties that present elevated credit risk.

Starting at $999 →

Supplier Risk & Performance Intelligence

Supplier Risk Performance Dataset (SRPD)

Organizations often lack visibility into supplier performance, delivery reliability, financial stability, quality issues, and supply chain disruption risk.

Starting at $999 →

Clinical Efficiency & Effectiveness Intelligence

Clinical Efficiency & Effectiveness Intelligence Dataset (CEEID)

Healthcare organizations struggle to balance quality outcomes, clinical effectiveness, resource utilization, operational efficiency, and financial performance across increasingly complex care environments.

Starting at $999 →