Medical Economics Platform
Claims data,
finally useful.
KOSIQ ingests raw payer data from managed care plans, scrubs it with AI, and delivers clear cost analytics, risk stratification, and actionable reports — so providers can focus on care, not spreadsheets.
Designed for Managed Care
The Platform
Everything your practice needs
to control cost of care.
Claims Intelligence
Upload raw claims data from any payer — CSV, EDI 835/837, or Excel. KOSIQ's AI engine automatically cleans, normalizes, and categorizes every claim. Anomalies and billing errors are flagged instantly.
- Multi-payer data normalization
- Automatic error detection
- Real-time processing under 2 seconds
- Support for all major file formats
Risk Stratification
Instantly identify your top 100 highest-cost, highest-risk patients. Understand exactly what's driving costs — pharmacy, hospitalizations, ER utilization, specialist referrals — and take action before costs escalate.
- AI-powered risk scoring (1-100)
- Top 100 high-cost patient ranking
- Cost driver breakdown per patient
- Predictive risk trending
Cost of Care Analytics
Comprehensive cost analysis across your entire patient population. Track PMPM (Per Member Per Month), compare payer performance, identify cost trends, and pinpoint exactly where your dollars are going — by category, by payer, by diagnosis.
- PMPM tracking across all payers
- Cost breakdown: Pharmacy, Inpatient, ER, Specialist
- Payer-to-payer performance comparison
- Year-over-year trend analysis
Chest Pain — R/O ACS
CHF Exacerbation
Fall — Hip Fracture
ENS Integration
Real-time feed from Florida's Emergency Notification System. Know the moment your patients visit the ER or get admitted — presented in a clean, actionable format instead of raw data dumps. Coordinate care faster.
- Real-time ER and admission alerts
- Patient context with cost history
- Hospital and diagnosis details
- Discharge tracking and follow-up
Built for scale.
From 1,000 patients to 60,000+ — KOSIQ adapts to your practice.
Automated Reporting
Monthly intelligence,
delivered automatically.
Every month, KOSIQ generates a comprehensive medical economics report — executive summary, top 25 high-cost patients, cost trend analysis, ER utilization breakdown, pharmacy insights, and AI-powered recommendations. No manual work required.
ER utilization increased 8.2% MoM, primarily driven by 12 CHF patients with repeated visits. Recommend outpatient care coordination and remote monitoring for this cohort to reduce avoidable admissions.
Integrations
Connects with your
existing workflow.
KOSIQ integrates with the systems you already use — payer portals, EHR systems, the Florida Health Information Exchange, and standard claims file formats.
Ready to see your
claims data clearly?
Join healthcare groups across Florida who are using KOSIQ to reduce costs, identify high-risk patients, and make smarter decisions with their payer data.
Request a Demo