| Dimensional Warehouse Model Data Model |
| Description | To analyze the medical utilization of members in order to identify potential areas for utilization management programs, the effectiveness of existing utilization management programs and to understand trends in member medical costs. This enables the health plan to project medical costs more accurately and to enhance reporting to group sponsors and providers. |
| Diagrams | |
BST - Ambulatory Care Utilization Analysis |
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BST - Referrals And Authorizations Claims Analysis |
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BST - Service Utilization Claim Detail Analysis |
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| Entities | |
Ambulatory Care Utilization Analysis |
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Referrals And Authorizations Claims Analysis |
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Service Utilization Claim Detail Analysis |
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| Dimensional Warehouse Model Data Model |