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Real-Time Healthcare Claims Management
Confluent enables healthcare insurance companies to provide a seamless experience to customers by streaming, processing, and governing healthcare and claims data from multiple sources in real time.
Provide a Pain-Free Claims Experience for Customers
An effective health insurance claims process requires data to be shared seamlessly between patients, healthcare providers, and payers. Many claims processes, however, rely on monolithic legacy applications and batch processing to transfer data between systems. This results in lengthy claim handling times, complex adjudications, and a negative customer experience.
Data streaming and an event-driven architecture powered by Confluent provides a simpler way to securely integrate patient and healthcare data for a seamless, real-time claims management system.
Shorten claim handling times
Reduce claim administration costs
Provide real-time updates to customers, improving their experience
Build with Confluent
This use case leverages the following building blocks in Confluent Cloud.
Reference Architecture
EHR, claims, and clinical data (HL7 and FHIR) data is ingested to Confluent via pre-built connectors.
Data sources are processed in real time to flatten highly nested data from monolithic claims management systems.
Processed data is streamed in real time to downstream microservice applications via pre-built connectors.