An R package, plumber API, database, and Shiny App for Actuarial Loss Development and Reserving Workflows.
Python toolkit for Medicaid claims data analysis — preprocessing, cleaning, risk adjustment (Elixhauser, CDPS-Rx), quality measures (PQI, BETOS, low-value care), and patient-level analytic file construction for MAX and TAF CMS data. Built on Dask for scalable processing of large-scale healthcare claims datasets.
Using Power BI to analyze outpatient claims data to find out the high utilizers and the economic impact
Detection of abnormal delivery patterns and potential obstetric claim anomalies using JKN administrative claims data.
Impact Analysis of the Policy for Access of Administrative Data in France : A Beforefter Study. Vincent LOOTEN and Marie SIMON Digital Personalized Health and Medicine L.B. Pape-Haugaard et al. (Eds.) © 2020 European Federation for Medical Informatics (EFMI) and IOS Press. This article is published online with Open Access by IOS Press and distri…
Claims experience record for a Group Health Insurance policy for 3 underwriting years was used to extract the amounts related to each claim and summarized with regards to the Inception Date of the policy.
Excel healthcare spend & utilization dashboard (Power Query + Power Pivot) using synthetic claims data (2019–2024).
SQL-based analytic warehouse that converts administrative health insurance claims into patient episodes, referral patterns, and utilization indicators.
SQL-first healthcare claims analytics project that maps ICD/CPT/NPI to provider cost variation and generates client-ready utilization insights.
Add a description, image, and links to the claims-data topic page so that developers can more easily learn about it.
To associate your repository with the claims-data topic, visit your repo's landing page and select "manage topics."