From raw claims files to decisions you can act on.
Curalogix builds custom data infrastructure from commercial and Medicare claims data, Medicare value-based program data, payer machine-readable files, and practice management data — so your team spends its time on decisions, not file formats.
| Provider | Rate | Flag |
|---|---|---|
| Gateway Ortho Group | $1,845 | — |
| Meridian Ortho Partners | $1,720 | — |
| Ozark Cardiology Assoc. | $1,960 | ghost |
Four kinds of healthcare data, one team.
Each engagement starts with your files and your question — not a pre-built dashboard. Below is where most projects begin.
Practice Management Data
We pull structure out of the scheduling, billing, and utilization data sitting inside your practice management system.
- PM system extraction & normalization pipelines
- Provider productivity & utilization reporting
- Scheduling & throughput analytics
- Physician group operational dashboards
Commercial & Medicare Claims Data
We turn commercial and Medicare claims history into benchmarks, peer groups, and market analytics you can defend.
- Multi-payer claims ingestion & normalization
- CBSA-level rate benchmarking and peer groups
- Claims routing & adjudication logic
- Market feasibility & facility performance reporting
Medicare Value-Based Program Data
We build the episode and quality analytics value-based programs run on, grounded in CMS methodology.
- Episode payment analytics (CJR-X, bundled models)
- HCC risk adjustment & quality steering data
- Peer group construction & performance benchmarking
- Ongoing program participation reporting
Payer Machine-Readable Files
Payer transparency files are enormous and noisy. We parse them at scale and hand back rates you can actually trust.
- High-volume MRF parsing & streaming decompression
- Ghost-rate detection and filtering
- CPT/HCPCS-level rate benchmarking across markets
- Network cost optimization & repricing pipelines
The same pipeline, tuned to your files.
Every engagement moves through the same five stages — what changes is the source data and the shape of the output.
Ingest
Pull practice management exports, claims feeds, VBP program data, or MRF files directly from source, at whatever volume they arrive in.
Parse
Break down JSON, EDI, and fixed-width formats into structured, queryable records.
Validate
Filter ghost rates, reconcile identifiers, and flag anything that doesn't hold up.
Structure
Build the schema, benchmarks, and reference tables your analytics actually run on.
Deliver
Ship it as a database, a Power BI portal, or a report your team can open today.
Data engineers who work inside payer files every day.
Curalogix is a healthcare data engineering firm founded to close the gap between raw practice, payer, and claims data and the decisions built on top of them. We don't sell a fixed dashboard — we build the pipeline your data and your question actually require.
That work is grounded in hands-on experience with practice management systems, commercial and Medicare claims adjudication, value-based program methodology, price transparency regulation, and the SQL Server infrastructure needed to make billion-row datasets usable.
- SQL Server & CCI indexing
- Practice management data
- MRF / TiC parsing
- Claims adjudication
- Medicare VBP data
- Power BI & Azure OpenAI
Tell us what's in your files.
Whether it's a single benchmarking question or a full data infrastructure build, start with a conversation — not a proposal template.
