Infrastructure that gets smarter while you sleep

Healthcare data,
simplified.

Explore, Integrate, and Build on Your Data Estate

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Flume
Agents · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
AllAnalysisEngineeringReviewReporting15 agents
Estate Assessment
Review
Comprehensive data estate investigation — profiles tables, maps pipelines, classifies findings by...
AssessmentFindingsPipeline
MTH
RSN
STR
DAT
DOM
Healthcare Actuary
Analysis
PMPM/PEPM calculations, trend analysis, risk adjustment, IBNR estimation, and MLR analysis.
PMPMTrendIBNR
MTH
RSN
STR
DAT
DOM
Quick Actuary
Analysis
Rapid health plan metrics. PMPM, utilization rates, and cost trends in seconds.
PMPMUtilizationQuick
MTH
RSN
STR
DAT
DOM
Claims Analyst
Analysis
High cost claimant identification, utilization pattern analysis, and anomaly detection.
High CostUtilizationAnomalies
MTH
RSN
STR
DAT
DOM
Steerage Report
Reporting
Build employer group steerage reports with network tier analysis and plan comparisons.
SteerageNetwork TierEmployer Group
MTH
RSN
STR
DAT
DOM
Data Engineer
Engineering
Data profiling, quality validation, schema analysis, and join testing.
ProfilingSchemaQuality
MTH
RSN
STR
DAT
DOM
Data Analyzer
Engineering
Analyze CSV or Excel files. Summary statistics, distributions, and key insights.
CSVExcelStatistics
MTH
RSN
STR
DAT
DOM
Pattern Detector
Engineering
Run pattern detection on a schema to identify applicable data patterns (claims, eligibility, etc.).
PatternsSchemaDetection
MTH
RSN
STR
DAT
DOM
Adversarial Review
Review
Challenge assumptions, validate SQL queries, and find logic errors.
SQL ValidationLogic CheckAnti-patterns
MTH
RSN
STR
DAT
DOM
Full Analysis
Review
End-to-end analysis workflow with prerequisites, pattern detection, and adversarial review.
End-to-EndWorkflowReview
MTH
RSN
STR
DAT
DOM
Cohort Explorer
Reporting
Find and extract patient/member cohorts by diagnosis, procedure, or demographics.
CohortsMembersPopulation
MTH
RSN
STR
DAT
DOM
Clinical Coding
Analysis
ICD-10 validation, DRG analysis, coding accuracy audits, and clinical documentation review.
ICD-10DRGCoding
MTH
RSN
STR
DAT
DOM
Compliance Monitor
Reporting
MLR calculations, regulatory filing checks, and audit trail generation.
MLRRegulatoryAudit
MTH
RSN
STR
DAT
DOM
Network Analyzer
Analysis
Provider network adequacy, geo access analysis, and referral pattern detection.
NetworkProvidersAccess
MTH
RSN
STR
DAT
DOM
Feed Validator
Engineering
Source system reconciliation, feed validation, and data pipeline integrity checks.
FeedsValidationPipeline
MTH
RSN
STR
DAT
DOM
Flume
Ask · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
Talk to Your Data
Ask questions about your databases, schemas, and tables
Session
Active
Knowledge Graph
6,000 tables loaded
Try Asking
Show me every member on diabetes meds, R...
What is the source of truth for member e...
What’s driving the PMPM increase in our ...
Which employer groups are at risk of not...
Flume
Estate · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
Estate
graphstructuremodellineagejoinslogsourceshealth
MBR·member_elig_out·890K▸
Servers0
Databases0
Views0
Tables0
Stored Procs0
all governed

Trusted by organizations with the most complex data estates in healthcare.

OptumPoint32HealthBeneconCoupe HealthRenalogicSimplePayCobalt
OptumPoint32HealthBeneconCoupe HealthRenalogicSimplePayCobalt
OptumPoint32HealthBeneconCoupe HealthRenalogicSimplePayCobalt
OptumPoint32HealthBeneconCoupe HealthRenalogicSimplePayCobalt

What you can do with Flume

Map your data estate. Build a living knowledge graph. Make every answer trustworthy. Auto integrate. On portable infrastructure you own.

/Ask

Ask across the business.

One prompt. Every data source. Real answers. Flume handles query planning, schema resolution, and logic validation behind the scenes.

Learn more →
Flume
Ask · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
Talk to Your Data
Ask questions about your databases, schemas, and tables
Session
Active
Knowledge Graph
6,000 tables loaded
Try Asking
Show me every member on diabetes meds, R...
What is the source of truth for member e...
What’s driving the PMPM increase in our ...
Which employer groups are at risk of not...
/Estate

See what breaks before you touch it.

Flume maps your entire data estate into a living knowledge graph. Every table, view, dependency, and pipeline. Inventoried, connected, governed, and auto integrated.

Learn more →
Estate · Governed
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Estate
graphstructuremodellineagejoinslogsourceshealth
⊞
enrollment_staging
Staging · staging.sys_primary
···
⊞
member_eligibility
Membership · membership.sys_primary
···
⊞
employer_plan
Membership · membership.sys_primary
···
⊞
accumulator_feed
Claims · claims.sys_primary
···
⊞
provider_roster
Network · network.sys_primary
···
◇
vw_elig_current
View · Refreshed: 4/08
···
◇
vw_accum_running
View · Refreshed: 4/08
···
⟐
usp_load_elig
Procedure · Last run: 4/08
···
⟐
usp_calc_accum
Procedure · Last run: 4/08
···
⊞
member_elig_curated
Lakehouse · Refreshed: 4/08
···
⊞
accum_summary
Lakehouse · Refreshed: 4/08
···
⊞
network_adequacy
Lakehouse · Refreshed: 4/07
···
▦
enrollment_dashboard
Dashboard · Refreshed: 4/07
···
↗
elig_extract_feed
Export · Sent: 4/08
···
Flume
Estate · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
Estate
graphstructuremodellineagejoinslogsourceshealth
MBR·member_elig_out·890K▸
Servers0
Databases0
Views0
Tables0
Stored Procs0
all governed
/Agents

Put domain agents to work.

Clinical coding, actuarial analysis, claims audits, cost optimization. Pick an agent, point it at your data, get reusable assets instead of one-off answers.

Learn more →
Value Lab · Governed
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
USE CASESKPIsBENCHMARKS
Search use cases...
+ ADD NEW
◉ OPPORTUNITIES47
Hierarchy
Functional / Value
›Commercial, Product & Growth
⌄Corporate Affairs & Government Relations
Government Relations & Policy
›Finance
›Human Resources
›Legal, Compliance & Regulatory
›Operations
›Procurement & Vendor Management
Value Pool
Automated Client & Member Onboarding
Automated Provider Contracting
Digital Activation
Future Networks
Intelligent Offerings
Value Score
USE CASES
Overall Data Readiness 68% (24/37 systems)
^
Customer
60%
6/10 systems connected
Claims
60%
3/5 systems connected
Provider
88%
7/8 systems connected
Admin
33%
3/9 systems connected
Employee
100%
5/5 systems connected ✓
Showing 127 of 127 use cases
☰ TABLE⊞ CARDS
NameValue PoolValue DriverPriority
⌄ ACCOUNTING & CLOSE (RECORD TO REPORT) (5)
Premium Tax AcceleratorStreamlined ReimbursementCycle TimeTBD
Early-Pay Discount MgrStreamlined ReimbursementDiscountsTBD
Variance AnalysisStreamlined ReimbursementOverpayment ReductionTBD
Finance Data Capture & ReconciliationStreamlined ReimbursementRework/QualityTBD
⌄ ACTUARIAL, PRICING & UNDERWRITING (4)
Underwriting Triage & PrioritizationOptimized Selling & DistributionCycle TimeTBD
Compliance MonitoringIntelligent Utilization ManagementDeflection/Self-Service/AutomationTBD
Early Fraud DetectionStreamlined ReimbursementFraud Waste and AbuseTBD
Actuarial ForecastingTargeted Quality & Risk ImprovementRisk Profile OptimizationTBD
⌄ CARE MANAGEMENT & POPULATION HEALTH (7)
Care Manager AssistantIntent-Driven Member Health EnablementAvailability/CapacityLow
Quality Bonus OptimizerTargeted Quality & Risk ImprovementPerformance Guarantees/BonusesMed
Star Rating Improvement PlannerTargeted Quality & Risk ImprovementPerformance Guarantees/BonusesMed
PBM Rebate MaximizationIntent-Driven Member Health EnablementRebatesTBD
Care Gap IdentificationIntent-Driven Member Health EnablementUtilization ImprovementTBD
Personalized Care PlansIntent-Driven Member Health EnablementUtilization ImprovementTBD
Readmission Risk PredictionIntent-Driven Member Health EnablementUtilization ImprovementTBD
⌄ CLAIMS ADJUDICATION (8)
Claims Experience InsightsStreamlined ReimbursementB2B Client AttritionTBD
Claims Processing Workflow AutomationStreamlined ReimbursementDeflection/Self-Service/AutomationTBD
Intelligent Claims Auto-AdjudicationStreamlined ReimbursementDeflection/Self-Service/AutomationTBD
Claims Fraud DetectionStreamlined ReimbursementFraud Waste and AbuseTBD
Auto-Adjudication Rate OptimizerStreamlined ReimbursementPerformance Guarantees/BonusesTBD
Guarantee Compliance TrackerStreamlined ReimbursementPerformance Guarantees/BonusesTBD
Rebate Pass-Through CalculatorStreamlined ReimbursementRebatesTBD
⌄ CLINICAL UTILIZATION MANAGEMENT (3)
Prior Authorization AutomationIntelligent Utilization ManagementCycle TimeTBD
PA List Optimization (Code-Level ROI)Intelligent Utilization ManagementDeflection/Self-Service/AutomationTBD
Medical Necessity Review AutomationIntelligent Utilization ManagementRework/QualityTBD
⌄ CORPORATE LEGAL & GOVERNANCE (3)
Flume
Agents · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
AllAnalysisEngineeringReviewReporting15 agents
Estate Assessment
Review
Comprehensive data estate investigation — profiles tables, maps pipelines, classifies findings by...
AssessmentFindingsPipeline
MTH
RSN
STR
DAT
DOM
Healthcare Actuary
Analysis
PMPM/PEPM calculations, trend analysis, risk adjustment, IBNR estimation, and MLR analysis.
PMPMTrendIBNR
MTH
RSN
STR
DAT
DOM
Quick Actuary
Analysis
Rapid health plan metrics. PMPM, utilization rates, and cost trends in seconds.
PMPMUtilizationQuick
MTH
RSN
STR
DAT
DOM
Claims Analyst
Analysis
High cost claimant identification, utilization pattern analysis, and anomaly detection.
High CostUtilizationAnomalies
MTH
RSN
STR
DAT
DOM
Steerage Report
Reporting
Build employer group steerage reports with network tier analysis and plan comparisons.
SteerageNetwork TierEmployer Group
MTH
RSN
STR
DAT
DOM
Data Engineer
Engineering
Data profiling, quality validation, schema analysis, and join testing.
ProfilingSchemaQuality
MTH
RSN
STR
DAT
DOM
Data Analyzer
Engineering
Analyze CSV or Excel files. Summary statistics, distributions, and key insights.
CSVExcelStatistics
MTH
RSN
STR
DAT
DOM
Pattern Detector
Engineering
Run pattern detection on a schema to identify applicable data patterns (claims, eligibility, etc.).
PatternsSchemaDetection
MTH
RSN
STR
DAT
DOM
Adversarial Review
Review
Challenge assumptions, validate SQL queries, and find logic errors.
SQL ValidationLogic CheckAnti-patterns
MTH
RSN
STR
DAT
DOM
Full Analysis
Review
End-to-end analysis workflow with prerequisites, pattern detection, and adversarial review.
End-to-EndWorkflowReview
MTH
RSN
STR
DAT
DOM
Cohort Explorer
Reporting
Find and extract patient/member cohorts by diagnosis, procedure, or demographics.
CohortsMembersPopulation
MTH
RSN
STR
DAT
DOM
Clinical Coding
Analysis
ICD-10 validation, DRG analysis, coding accuracy audits, and clinical documentation review.
ICD-10DRGCoding
MTH
RSN
STR
DAT
DOM
Compliance Monitor
Reporting
MLR calculations, regulatory filing checks, and audit trail generation.
MLRRegulatoryAudit
MTH
RSN
STR
DAT
DOM
Network Analyzer
Analysis
Provider network adequacy, geo access analysis, and referral pattern detection.
NetworkProvidersAccess
MTH
RSN
STR
DAT
DOM
Feed Validator
Engineering
Source system reconciliation, feed validation, and data pipeline integrity checks.
FeedsValidationPipeline
MTH
RSN
STR
DAT
DOM
/Value

Stop leaving money in the system.

Surface cost optimization and operational efficiency opportunities across your book. Find what matters before someone has to go hunting for it.

Learn more →
Agents · Governed
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
AllAnalysisEngineeringReviewReporting15 agents
Estate Assessment
Review
Comprehensive data estate investigation — profiles tables, maps pipelines, classifies findings by...
AssessmentFindingsPipeline
MTH
RSN
STR
DAT
DOM
Healthcare Actuary
Analysis
PMPM/PEPM calculations, trend analysis, risk adjustment, IBNR estimation, and MLR analysis.
PMPMTrendIBNR
MTH
RSN
STR
DAT
DOM
Quick Actuary
Analysis
Rapid health plan metrics. PMPM, utilization rates, and cost trends in seconds.
PMPMUtilizationQuick
MTH
RSN
STR
DAT
DOM
Claims Analyst
Analysis
High cost claimant identification, utilization pattern analysis, and anomaly detection.
High CostUtilizationAnomalies
MTH
RSN
STR
DAT
DOM
Steerage Report
Reporting
Build employer group steerage reports with network tier analysis and plan comparisons.
SteerageNetwork TierEmployer Group
MTH
RSN
STR
DAT
DOM
Data Engineer
Engineering
Data profiling, quality validation, schema analysis, and join testing.
ProfilingSchemaQuality
MTH
RSN
STR
DAT
DOM
Data Analyzer
Engineering
Analyze CSV or Excel files. Summary statistics, distributions, and key insights.
CSVExcelStatistics
MTH
RSN
STR
DAT
DOM
Pattern Detector
Engineering
Run pattern detection on a schema to identify applicable data patterns (claims, eligibility, etc.).
PatternsSchemaDetection
MTH
RSN
STR
DAT
DOM
Adversarial Review
Review
Challenge assumptions, validate SQL queries, and find logic errors.
SQL ValidationLogic CheckAnti-patterns
MTH
RSN
STR
DAT
DOM
Full Analysis
Review
End-to-end analysis workflow with prerequisites, pattern detection, and adversarial review.
End-to-EndWorkflowReview
MTH
RSN
STR
DAT
DOM
Cohort Explorer
Reporting
Find and extract patient/member cohorts by diagnosis, procedure, or demographics.
CohortsMembersPopulation
MTH
RSN
STR
DAT
DOM
Clinical Coding
Analysis
ICD-10 validation, DRG analysis, coding accuracy audits, and clinical documentation review.
ICD-10DRGCoding
MTH
RSN
STR
DAT
DOM
Compliance Monitor
Reporting
MLR calculations, regulatory filing checks, and audit trail generation.
MLRRegulatoryAudit
MTH
RSN
STR
DAT
DOM
Network Analyzer
Analysis
Provider network adequacy, geo access analysis, and referral pattern detection.
NetworkProvidersAccess
MTH
RSN
STR
DAT
DOM
Feed Validator
Engineering
Source system reconciliation, feed validation, and data pipeline integrity checks.
FeedsValidationPipeline
MTH
RSN
STR
DAT
DOM
Flume
Value Lab · Governed
Ask
Dashboards
Value Lab
Agents
Estate
Schedule
History +
Show me every member o...
Just now
Source of truth for mem...
Tue
PMPM increase in self-f...
Mar 19
Employer groups at risk...
Mar 13
Ready
USE CASESKPIsBENCHMARKS
Search use cases...
+ ADD NEW
◉ OPPORTUNITIES47
Hierarchy
Functional / Value
›Commercial, Product & Growth
⌄Corporate Affairs & Government Relations
Government Relations & Policy
›Finance
›Human Resources
›Legal, Compliance & Regulatory
›Operations
›Procurement & Vendor Management
Value Pool
Automated Client & Member Onboarding
Automated Provider Contracting
Digital Activation
Future Networks
Intelligent Offerings
Value Score
USE CASES
Overall Data Readiness 68% (24/37 systems)
^
Customer
60%
6/10 systems connected
Claims
60%
3/5 systems connected
Provider
88%
7/8 systems connected
Admin
33%
3/9 systems connected
Employee
100%
5/5 systems connected ✓
Showing 127 of 127 use cases
☰ TABLE⊞ CARDS
NameValue PoolValue DriverPriority
⌄ ACCOUNTING & CLOSE (RECORD TO REPORT) (5)
Premium Tax AcceleratorStreamlined ReimbursementCycle TimeTBD
Early-Pay Discount MgrStreamlined ReimbursementDiscountsTBD
Variance AnalysisStreamlined ReimbursementOverpayment ReductionTBD
Finance Data Capture & ReconciliationStreamlined ReimbursementRework/QualityTBD
⌄ ACTUARIAL, PRICING & UNDERWRITING (4)
Underwriting Triage & PrioritizationOptimized Selling & DistributionCycle TimeTBD
Compliance MonitoringIntelligent Utilization ManagementDeflection/Self-Service/AutomationTBD
Early Fraud DetectionStreamlined ReimbursementFraud Waste and AbuseTBD
Actuarial ForecastingTargeted Quality & Risk ImprovementRisk Profile OptimizationTBD
⌄ CARE MANAGEMENT & POPULATION HEALTH (7)
Care Manager AssistantIntent-Driven Member Health EnablementAvailability/CapacityLow
Quality Bonus OptimizerTargeted Quality & Risk ImprovementPerformance Guarantees/BonusesMed
Star Rating Improvement PlannerTargeted Quality & Risk ImprovementPerformance Guarantees/BonusesMed
PBM Rebate MaximizationIntent-Driven Member Health EnablementRebatesTBD
Care Gap IdentificationIntent-Driven Member Health EnablementUtilization ImprovementTBD
Personalized Care PlansIntent-Driven Member Health EnablementUtilization ImprovementTBD
Readmission Risk PredictionIntent-Driven Member Health EnablementUtilization ImprovementTBD
⌄ CLAIMS ADJUDICATION (8)
Claims Experience InsightsStreamlined ReimbursementB2B Client AttritionTBD
Claims Processing Workflow AutomationStreamlined ReimbursementDeflection/Self-Service/AutomationTBD
Intelligent Claims Auto-AdjudicationStreamlined ReimbursementDeflection/Self-Service/AutomationTBD
Claims Fraud DetectionStreamlined ReimbursementFraud Waste and AbuseTBD
Auto-Adjudication Rate OptimizerStreamlined ReimbursementPerformance Guarantees/BonusesTBD
Guarantee Compliance TrackerStreamlined ReimbursementPerformance Guarantees/BonusesTBD
Rebate Pass-Through CalculatorStreamlined ReimbursementRebatesTBD
⌄ CLINICAL UTILIZATION MANAGEMENT (3)
Prior Authorization AutomationIntelligent Utilization ManagementCycle TimeTBD
PA List Optimization (Code-Level ROI)Intelligent Utilization ManagementDeflection/Self-Service/AutomationTBD
Medical Necessity Review AutomationIntelligent Utilization ManagementRework/QualityTBD
⌄ CORPORATE LEGAL & GOVERNANCE (3)
Request a Demo

See your data estate through Flume’s eyes.

We’ll connect to your environment and show you what Flume finds. Bring your hardest question. We’ll start there.

Your data never
leaves your environment
SOC 2HIPAAHITRUST

What question about your data have you not been able to answer?

/FAQ