OLAP engine aggregates years of claims, eligibility, and provider data; analysts pivot across diagnosis, procedure, geography, and time to uncover hidden cost drivers in seconds.

Adaptive algorithms learn baseline utilisation and instantly surface deviations—up-coding, phantom billing, unbundling, or excessive frequency—reducing manual review queues.

Streaming analytics push notifications to SIEM, case-management, and mobile apps within milliseconds of a suspicious event, enabling early intervention before payment.

Scenario models test deductible, co-pay, and coverage changes against historic utilisation, guiding plan designers toward configurations that curb waste without hurting member satisfaction.

Immutable logs, role-based access, and exportable evidence packets support HIPAA, GDPR, and insurer-specific audit requirements, preserving chain-of-custody for prosecution.

Containerised micro-services run on-prem, private cloud, or sovereign hosting; end-to-end encryption and optional hardware security modules keep PHI under your control as volumes grow.