Is your data telling the full story?
David visits his doctor, but claims data alone doesn’t tell the full story.
Get the full story.
See how claims and EHR data work together
Claims
Date of service: July 4, 2021
Provider: Dr. John Smith
Diagnosis: ICD-9 Diabetes mellitus without mention of complication
EHR (clinical)
Date of service: July 4, 2021
Provider: Dr. John Smith
Date of service is consistent between both claims and clinical data sources.
EHR insights
Weight: 180 lbs
BMI: 29 kg/m2
BP: 70 Diastolic/120 Systolic
Smoking Status: Smoking
Cessation Counseling
A1c: 11.5
EHR insights tell us the vital signs and lab results.
Claims data
Services: CPT 99213 outpatient visit
Cost of care: $7,250
Claims tell us services and cost data.
Prescription data
Written RX:
· Metformin
· Acensia, Test Strips
· Glyburide
EHR data tell us more about prescribed medications.
Medication adherence
Filled RX:
· Metformin
· Acensia, Test Strips
· Glyburide
Cost: $126.50
Claims data give insight to medication adherence.
David’s full story comes into view
Claims data allow you to understand costs and patient follow through.
EHR data allow you to gain clinical insight and see patient/provider interaction.
