Claims Processing, especially in Healthcare is an inexact science and many Business Intelligence (BI) efforts in this area have to do with following the right Business Process and measuring the efficiency and effectiveness of these processes. Also noted in this ebiz blog is that OpenConnect seems to have come up with a better way to do the same thing but without any reporting of BI Metrics explicitly from any of the applications.
"OpenConnect seems to have come up with a better way to do the same thing but without any reporting of BI Metrics explicitly from any of the applications. They 'inferi the conduct of the business process by sniffing accesses to applications, keystrokes, screen scrapes of mainframe applications, etc.
"They reconstruct the way the business process was executed and compare it to the way it ought to be executed. This may mean measuring the time between actual occurrence of Event A compared to the actual occurrence of Event B and comparing it to the IDEAL time between Event A and Event B in an ideal conduct of the business process."