Member 360
Every claim, condition, and care gap — one member, one view.
Bring clinical and financial context together: claims, encounters, medications, provider relationships, risk scores, and care gaps on a single longitudinal profile.
The challenge
Why Member 360 Intelligence
- Member data is split between EHRs, claims systems, and spreadsheets.
- Care teams lack financial context; finance teams lack clinical context.
- Social determinants rarely make it into decisions.
Guardrail: Profiles show the data sources behind each field and flag gaps in coverage.
Interactive preview · synthetic data
Diabetic eye exam20
Colorectal cancer screening15
HbA1c control13
Statin therapy12
Annual wellness visit12
Breast cancer screening11
Capabilities
What's included
Available in Demo
Longitudinal member profile
Claims, encounters, conditions, and medications in time order.
Available in Demo
Provider relationships
Attributed PCP, specialists, and facilities seen.
Available in Demo
Risk scores & care gaps
Current risk and open preventive gaps side by side.
Available in Demo
Utilization history
ED visits, admissions, and spend by month.
Integration Required
Social determinants
SDOH factors shown where source data provides them.
Workflow
How it works
- 01
Match member identity
- 02
Merge claims & clinical
- 03
Compute risk & gaps
- 04
Present profile
- 05
Route to care team
Experience TheFlashAI
Explore the interactive demo with synthetic data, or talk to our team about your organization.