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The Payer Operations Command Center.

Real-time, role-specific dashboards with Connected AI insights for every audience, from the boardroom to the operations floor. Not just metrics: AI explains what changed, why, and what to do next.
PA Data Dashboard

Key metrics

88.2% -1.4pp
MLR
Medical loss ratio this period
$412 +2.1%
PMPM
Per member per month cost
4.8% -0.6pp
Denial Rate
Claims denied this period
4.2★ +0.3
Star
CMS MA star rating
Benny Explains
MLR down 1.4pp month-over-month. Rx rebate timing shifted $18M into Q1. Medical cost trend remains stable at 6.2%.

Role-Specific Intelligence.

Each dashboard delivers the metrics, insights, and recommended actions that matter most to its audience.
Insights1™ Dashboards
Dashboard 01
Executive and Board
MLR -1.4pp
88.2%
AI: Rx rebate timing shifted $18M to Q1.

MLR, admin cost ratio, membership trends, STAR trajectory, revenue performance, compliance posture. AI-generated narratives for board presentations.

Dashboard 02
Operations Leaders
Cycle Time -22%
4.2 days
AI: Config cadence improved after SmartConfig rollout.

Claims velocity, denial rates by root cause, configuration cadence, enrollment throughput, credentialing cycle times. Anomaly detection with root cause analysis.

Dashboard 03
Quality and Compliance
Star +0.3
4.2★
AI: CAHPS gains driven by member portal.

HEDIS measure tracking, STAR component performance, care gap closure rates, regulatory filing status, audit readiness scores.

Dashboard 04
Finance
PMPM +2.1%
$412
AI: Specialty mix shift in MA LOB.

Medical cost trending, PMPM by LOB, capitation reconciliation, stop-loss proximity, Late Payment Interest (LPI) exposure, VBC financial performance.

Dashboard 05
Provider Relations
Attribution +3pp
94%
AI: Roster refresh closed 6,200 gaps.

VBC performance by provider group, quality metrics, attribution accuracy, settlement projections, network adequacy.

Dashboard 06
Sales and Growth
Win Rate +8pp
62%
AI: Broker enablement uplift on renewal cohort.

Pipeline velocity, conversion rates, renewal optimization, competitive analysis, broker performance, market share trends.

Detect. Diagnose. Decide.

Persona Cards

01

Anomaly Detection

AI continuously monitors operational metrics and flags deviations from expected patterns before they become problems.

AI Example

"Denial rate spiked 8% in SE region last week."

02

Root Cause Analysis

When a metric moves, AI traces it to the operational root cause: a configuration change, a provider issue, a coding update.

AI Example

"Traced to fee schedule batch deployed 03-15."

03

Recommended Actions

AI does not just show what happened. It recommends what to do next, connecting insights to specific operational workflows.

AI Example

"Reprice 2,400 claims with corrected codes."

See operational intelligence in action.

Request a walkthrough of Insights1™ dashboards tailored to your role and operational priorities.