What we do
Who we are
What we think
- Thought Leadership
  - Citius Vision
  - HealthTech 360
Partners
- Partners
  - AWS
  - Microsoft Azure
  - Google Cloud Platform (GCP)
  - Databricks
  - Snowflake
  - Salesforce
  - OutSystems
  - ServiceNow
  - Pega
  - Decisions
  - UI Path
  - Automation Anywhere
  - QuerySurge
  - IBM
  - Tableau
  - Veeva
  - Cloudera
  - CloudCheckr
  - Talend
  - ClearData
  - Red Hat
  - Infor
Careers

Contact Us

On-demand Webinar

Data Intelligence for Healthcare Claims

Enterprise Claims Management

Data-Intelligence-for-Healthcare-Claims_Subject

Healthcare claims are at the heart of payer-provider interactions, serving not only as financial transactions but also as rich sources of operational and clinical insight. The data within these claims powers critical programs such as value-based care, care quality measurement, and resource optimization—making claims management a strategic priority for healthcare organizations.

With the right approach, claims management can drive faster adjudication, reduce administrative overhead, and enable smarter care coordination. Leveraging modern data platforms like Databricks, organizations can unlock the full potential of claims data to improve outcomes and reduce waste.

What You’ll Learn

How Databricks and CitiusTech enable more efficient and scalable claims management
Discover and demystify claims processing workflows and adjudication challenges
Explore how raw EDI claims data can be ingested and analyzed directly in a lakehouse architecture using open-source tools
Watch an end-to-end demo of ingesting, parsing, and analyzing claims data
Understand how optimized claims management supports downstream programs like payment integrity, value-based care, and population health

Related Articles

Great expectations from Payers (and everyone) to build a patient-centric HealthTech ecosystem

Great expectations from Payers (and everyone) to build a patient-centric HealthTech ecosystem

Fixing the AI blind spot in Healthcare

Fixing the AI blind spot in Healthcare

Is your healthcare data really safe?

Is your healthcare data really safe?

Revolutionizing patient care

Revolutionizing patient care

Accelerating clinical development

Accelerating clinical development

Liquid biopsies with radiology directed biopsy

Liquid biopsies with radiology directed biopsy

Enhancing Payer prior authorization workflows

Enhancing Payer prior authorization workflows

Revenue Cycle Modernization in the 2020's

Revenue Cycle Modernization in the 2020's

Transforming web accessibility with the power of Gen AI

Transforming web accessibility with the power of Gen AI

Revolutionizing medical imaging workflow

Revolutionizing medical imaging workflow

Navigating 2025 MIPS quality measures

Navigating 2025 MIPS quality measures

Streamlining healthcare cloud expenses

Streamlining healthcare cloud expenses

Future-forward marketing

Future-forward marketing

Building a sustainable compliance framework

Building a sustainable compliance framework

Four top reasons for Cloud spend wastage

Four top reasons for Cloud spend wastage

The five key digital shifts

The five key digital shifts

Driving patient centric success

Driving patient centric success

Adopting Interoperability

Adopting Interoperability

Advancing to transformative revenue cycle

Advancing to transformative revenue cycle

Alcohol SBI (Screening and Brief Intervention)

Alcohol SBI (Screening and Brief Intervention)

Azure data migration strategies

Azure data migration strategies

Building a unified vision

Building a unified vision

Navigating Consent Management in patient-centric care

Navigating Consent Management in patient-centric care

Diagnosis to treatment

Diagnosis to treatment

Digital healthcare experience

Digital healthcare experience

Digital innovations in pharmaceuticals

Digital innovations in pharmaceuticals

Digital transformation

Digital transformation

Innovations in drug discovery in a post-pandemic world

Innovations in drug discovery in a post-pandemic world

Embracing digital transformation in patient hub services

Embracing digital transformation in patient hub services

Enabling remote monitoring for personalized healthcare

Enabling remote monitoring for personalized healthcare

Shift Left Testing

Shift Left Testing

Pioneering healthcare in the digital landscape

Pioneering healthcare in the digital landscape

Explore the transformative power of GenAI

Explore the transformative power of GenAI

Exploring Payer-to-Payer data exchange

Exploring Payer-to-Payer data exchange

From enrollment to improving member health

From enrollment to improving member health

Generative AI in healthcare

Generative AI in healthcare

Humanizing healthcare

Humanizing healthcare

Next-Gen data integration & Interoperability

Next-Gen data integration & Interoperability

Imaging informatics

Imaging informatics

Laying the foundation

Laying the foundation

Optimizing medical device maintenance

Optimizing medical device maintenance

Mastering FinOps on AWS

Mastering FinOps on AWS

Navigating global regulations for SaMD

Navigating global regulations for SaMD

Effective contract management in value-based care

Effective contract management in value-based care

Unlocking Cloud potential for Payers

Unlocking Cloud potential for Payers

Safeguarding the future of radiology

Safeguarding the future of radiology

Scaling healthcare innovation

Scaling healthcare innovation

The future of healthcare

The future of healthcare

The interoperability upgrade

The interoperability upgrade

The rise of value-based care

The rise of value-based care

Think beyond monitoring

Think beyond monitoring

Understanding FinOps

Understanding FinOps

Unleashing the potential of Cloud partnerships

Unleashing the potential of Cloud partnerships

Revolutionizing efficiency in healthcare

Revolutionizing efficiency in healthcare

Transforming specialty care through value-based digital strategies

Transforming specialty care through value-based digital strategies

Healthcare trends 2023

Healthcare trends 2023

Navigating Healthcare Transformation

Navigating Healthcare Transformation

Navigating the complexities of risk adjustment

Navigating the complexities of risk adjustment

Overcoming prior authorization challenges in healthcare Payer plans

Overcoming prior authorization challenges in healthcare Payer plans

Decoding Gen AI as an enabler

Decoding Gen AI as an enabler

Small Device, Big Impact: Apple’s Role in the Hearing Aid Market

Small Device, Big Impact: Apple’s Role in the Hearing Aid Market

Mastering Cloud Cost Management

Mastering Cloud Cost Management

ICHRA vs. Traditional group health plans

ICHRA vs. Traditional group health plans

Personalized care with Gen AI-powered risk stratification

Personalized care with Gen AI-powered risk stratification

Empowering healthcare

Empowering healthcare

Modernizing healthcare

Modernizing healthcare

Navigating trends and focus areas

Navigating trends and focus areas

Can specialized models tame

Can specialized models tame

Evolution of Personalized Care

Evolution of Personalized Care

Cloud-based imaging

Cloud-based imaging

Putting price transparency rules to advantage

Putting price transparency rules to advantage