Lymba Health Payor Solutions

Empowering big data for Healthcare Payors

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Increasingly, Payors are faced with the burden to reduce the cost of patient care. While in the last decade significant progress has been made in traditional data management and operations optimization, there is a long way to go to modernize key business functions.

These business functions may be modernized using knowledge graphs and machine learning platforms capable of learning unstructured data. Natural Language Processing is the foundational capability needed to understand a greater portion of your data. Lymba can help.

A Natural Language Processing platform can fundamentally transform key business functions such as:

  • Contracting, billing, claims, and fraud including cost innovation, plan optimization, and compliance

  • Payor and outcomes measurement, including real-world evidence generation, payor engagement, and remote digital services

  • External partner data, including clinical trial sponsors, favored doctors, special services, and their related records

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 Lymba will help you apply Natural Language Processing and enable machine learning for business functions in contracting, outcomes measurement, and external partner data.

We can start with a free consultation to understand your opportunities and provide a demo.

Lymba NLP Payors Solutions

 

Contracting, Billing, Claims, and Fraud

Innovative Compliance

Contracting, Billing, Claims, and Fraud

NLP Use Cases

Apply new processes and policy to achieve cost innovation, plan optimization, and compliance

NLP ML Platform

Take manual work out of compliance and fraud processes

Ontology Builder

Link concepts between the world of billing, clinical, and compliance using language and lexicon

Doc2RDF

Pull together distinct unstructured text entities such as contracts and combine them in an RDF with structured billing, claims, or other data

NL2Query

Simplify the process of querying your datasets

Integration & Professional Services

Tap our professional services to pull together your world of data across siloes and concepts so you can drive insight generation

Payor Outcomes
Measurement

Improve Data Collection And Usability

Payor Outcomes Measurement

NLP Use Cases

Build connections between documents and concepts. Use inferential logic to measure treatment outcomes

NLP ML Platform

Build a bridge between the clinic and billing processes, for example with accountable care organizations

Ontology Builder

Payors and clinicians do not speak alike - your data needs a translator too

Doc2RDF

Forms, chats, notes, conversations - all captured in freeform text? We can help

NL2Query

Let us help you sift through your data to capture insights

Integration & Professional Services

Our integration and professional services can help you structure and accelerate insight generation

 
 
 

Start unlocking more cost optimization, improve outcomes measurement, and centralize partner data today!