Pacific Blue Cross (PBC) provides health, dental, life, disability and travel coverage for approximately 1.5 million British Columbians through employee group plans and through individual plans for those who do not have coverage with their employer.
Identify opportunities to improve PBC fraud detection and fraud case management through the use of “Smart Data” in an integrated analysis and reporting framework.
T4Bi developed a pilot data mart for Claims Analytics, to demonstrate the feasibility of integrating data marts into the business process. This pilot is now being extended to include a full implementation.
MS SQL Server, SQL Server Analysis Services, Tableau, Transact SQL, MS Excel (with Analytics)
T4Bi is delivering a “Smart Data” reporting and analytic framework for PBC customers to raise awareness and provide rich insights into opportunities to reduce their costs.