Monthly Archives: January 2009

Amenity was engaged by a large national health plan contractor to support algorithm development, programming, SME and analytics in the managed Medicare, Medicaid and commercial space.

Our highly specialized Subject Matter Experts developed clinical logic and coding analytics to create a proprietary Claim Selection Engine (CSE). Amenity’s analytics are deployed to target aberrant claims for cost containment and recovery savings. We leverage plan specific provider contract language to customize analytics that provide meaningful and appropriate targets for analysis.