Supporting Healthcare Insurers, Plans, Pharmacy Benefit Management Systems

Healthcare payers and benefits managers often need patient medical data to support operations and aid in decision support / analytics.  TIBCO is uniquely positioned to source EHR data via HL7?s FHIR connector via Business Works in an intuitive workflow.  Spotfire can be used for analytics and dashboards and Business Process Management can provide medical staff and care management workflows.  See examples of these assets in action

This video shows the acquisition, validation, and parsing of 837 claim data (EDI) within a Business Works workflow. Diabetes data matching the specified are passed on to Spotfire visual dashboards and ActiveMatrix Business Process Management.