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Which claims passed every rule but paid wrong?

  • QNXT
  • Facets
  • Snowflake
  • IBM ODM
  • SharePoint
  • SQL Server

Flume: Secure AI for healthcare payers.

2,000 databases
31,000 schemas
1,200,000 tables

30,000,000 columns
6,100,000,000 claims
4.2 PB of data

Answer · 3 of 3 checks passed

41,206 claims passed every rule and still paid above contract.

  • QNXT6.1 billion claim lines, read in place
  • Contracts2026 rates, amendment 4
  • IBM ODMRule PAY-114 applied the expired fee schedule
  • Open a ticket
  • Automate it
  • Build an app
  • Make a dashboard
  • Convert ODM rules to code
DEMO ESTATE. READ IN PLACE, READ-ONLY.TRAVERSEEVIDENCEACT

Answers you can act on. From the systems you already run.

Flume reads QNXT, Facets, HealthEdge, and your warehouse where they sit.

  • HITRUST i1 Certified
  • AICPA SOC 2
  • HIPAA

[ Customers ]

Health plans, TPAs, and consulting firms build on Flume.

Read the impact studies
Large payer01 / 03$5MLower annual operating costRead the impact study →

Getting an answer is easy.
Getting one you can use is the work.

TRADITIONAL6 people
TicketApprovalFind ownerWhich tableJoinsPipelineBuildAnswer13 WEEKS
TIME TO DECISIONCOSTUSABLE OUTPUTANSWER, A QUARTER LATE
GENERAL MODEL1 person
AnswerWrong answerRe-askWrong answerRe-askGive up→SECONDS
TIME TO DECISIONTOKENS BURNEDUSABLE OUTPUTNO ANSWER
FLUME1 person
AskResolveCheckDeployMINUTES
TIME TO DECISIONCOSTUSABLE OUTPUTCHECKED

From your systems to the finished work.

Flume connects your systems, keeps what your team knows, answers with evidence, and puts the answers to work.

The Flume platform

One platform, on the systems you already run.

See the platform
Waking up…

What AI needs to work on healthcare data. Flume brings all four.

  • Claims system837Eligibility feed834Pharmacy claimsNCPDP
  • SQL ServerTables · procsSnowflakeTables · viewsTeradataTables · views
  • DatabricksDelta tablesRedshiftTables · viewsProvider rosterSFTP · CSV
  • SSISPackagesInformaticaMappingsdbtModels
  • SharePointDocumentsConfluencePagesJiraTickets
  • Power BIMeasuresTableauWorkbooks

A few of the systems Flume connects to. See all connectors

Flume

  • Answers you can check

    Anyone can ask. Every answer arrives with its queries, rows, and checks.

  • Agents that do the work

    Bots and your own agents work on approved, time-limited access, logged for audit.

  • Tools that run on your data

    Apps, dashboards that refresh without spending tokens, and pipelines between systems.

  1. Connected in days

    Flume connects to thousands of databases and maps how they fit together.

  2. Understood, not just read

    It explains stored procedures, plan rules, and mappings, so the logic no longer lives in a few people’s heads.

  3. Access without the request queue

    People and agents get approved, time-limited access that expires on its own, and every query lands on the audit trail.

  4. Knowledge that compounds

    Every finding your team approves makes the next answer, and the next agent, better.

One platform for healthcare data.

Whether you run the plan, deliver the care, or advise either, you work from the same checked data.

For payers and TPAs

Answers from claims, eligibility, and accumulators where they live, checked and kept live plan year after plan year.

See Flume for payers and TPAs

For providers

Revenue, cost, and care, answered from the systems health systems and provider groups already run.

See Flume for providers

For consultants

Know what the client data supports in the first week, and bring the tools you built to the next engagement.

See Flume for consultants

Your first answer.
On your own data.

Choose a question with our team. Connect the data it needs. Review the answer and the work behind it.

  • HITRUST i1 Certified
  • AICPA SOC 2
  • HIPAA
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