Prometheus has developed operational reporting solutions and fraud detection solutions specific to the Health Fund industry.

The Prometheus Health Fund solutions are based on the advanced visualisation and reporting BI technology and Prometheus OLAP technology. These Prometheus solutions combine with Prometheus’ data science capabilities, deep technical BI skills and knowledge of health and health fund data.

The solutions offer Health Fund management, operational staff and analysts appropriate access to answer questions around critical parts of Fund business, such as revenue product profitability, membership and claims. 

Prometheus BI for Health Funds solution provides Funds access to specific health fund data and external health related data sets.

Currently over 50% of Australia’s health funds use Prometheus Health Fund solutions and services to address a range of requirements, whether day to day reporting, or design of algorithms for complex analysis and development of software to support them; or data science based consulting advice.


APPRAISE – Health Fund fraud detection

APPRAISE is a fraud detection solution designed specifically to address the needs of those Australian Health Funds seeking to understand their risks and exposure to the ancillary provider market, and their relationship with clients.

APPRAISE calculates probability based risks and measures for ancillary providers and builds a network of providers and patients linked by suspicion levels.

APPRAISE was developed within one of Australia’s leading Australian health funds, and is currently being made accessible to an additional 20 Australian health funds for day to day use.

For more information view our APPRAISE page or contact us.


Prometheus BI for Health Funds solution

The Prometheus BI for Health Funds solution is currently implemented in over 30% of Australian health funds.

The solution offers strategic and operational health fund reporting in a highly visual environment. The use of the Yellowfin BI technology means the solution is immediately mobile ready and web enabled, and provides a very cost effective platform for health fund reporting. The Prometheus OLAP engine provides immediate and deep analytical investigation of fund and non fund data.

The solution combines Yellowfin reporting capability with a series of Health Fund specific dashboards and reports, the Prometheus OLAP tool for advanced statistical analysis, and data library, as well as a Health Fund specific data warehouse and extract translate and load (ETL) for external health and non fund data sets.

For more information about our reporting systems please vist our BI Technology and Expertise and Yellowfin BI pages or contact us.