Case Study: QuadraMed achieves streamlined insurance-claims processing with InterSystems DeepSee (by InterSystems)

With InterSystems DeepSee, QuadraMed Builds New Product That Helps Hospitals Streamline Insurance Claims Processing

QuadraMed, a long-time InterSystems application partner and provider of healthcare IT systems, needed a way to help hospitals manage the complex, variable requirements of insurance claims filing. The challenge was to give registration and billing teams real-time visibility into data quality, throughput, and backlog so they could prevent errors, resolve bottlenecks, and ensure claims were processed correctly and on time.

By embedding InterSystems DeepSee with Ensemble into their registration auditing and quality-improvement application, QuadraMed added real-time dashboards and the ability to change data rules and work assignments on the fly. Users can now spot and fix rule issues, reassign stalled claims, and monitor operational performance instantly—improving claims flow, data quality, and the product’s market competitiveness.

QuadraMed

Tom Easterly

Senior VP and CTO, QuadraMed