Developing New Data Workflows

In this panel discussion, payment integrity leaders from regional and mid-size health plans will share how they are building data workflows that support day-to-day PI operations. The session will focus on how to move from fragmented systems and static reporting to connected, actionable workflows that enable earlier intervention and better decision-making.

- Connecting core data sources (claims, eligibility, provider, UM) to support effective PI workflows
- Turning analytics into usable insights for reviewers and operations teams
- Building scalable, standardised workflows for triage, case management, and audit tracking