QMTRY designs modern data platforms that unify EHR, claims, and operations into a single, trustworthy source of truth. Pipelines speak FHIR/C-CDA/837/835, quality checks are automated, and every metric (HEDIS/CMS Stars, PDC, SUPD, CBP) is traceable back to evidence for NCQA/CMS audits.
QMTRY’s pipeline ingests 837/835 (claims/remits), validates ISA/GS/ST, tracks 999/277CA, and normalizes everything to a clean canonical schema (claims_header, claims_line, adjudication, payments, ack_*). Denials intelligence (CARC/RARC → root causes) and SLA-aware ACK monitoring feed Streamlit dashboards for FPCCR, denial rate, payer lag, and A/R rollups. HIPAA-aware by design (minimum-necessary data, PHI-free logs) with deterministic lineage from raw EDI to metrics—so revenue ops get speed, visibility, and audit-ready proof.
Predict who’s likely to bounce back within 30 days—and why. QMTRY’s PopHealth Readmissions stack turns EHR/claims signals into calibrated risk scores with transparent reasons (SHAP), benchmarks against LACE, and ships outreach queues, ROI estimates, and a dark-mode Streamlit dashboard. Built on synthetic data for demos, deployable in your VPC. Reduce avoidable admits, focus care-manager time, and document every step for audit and Stars.
Build a zero-cloud, audit-ready platform that proves compliance end-to-end—IaC → policy → scans → dashboard. We wire K8s (containerd + Cilium + ingress-nginx), build with Podman/Buildah, and enforce policy-as-code (OPA/Conftest, Checkov). Syft SBOMs plus Trivy/Grype, Bandit, and Gitleaks feed a Streamlit Evidence Dashboard on Couchbase/Capella, with optional Kata isolation and Loki+Grafana. Start local on Ubuntu, graduate to AWS/K8s when ready.
QMTRY’s Provider & Member Engagement Analytics demo (PHI-free) computes Stars/HEDIS metrics (CBP, HBD, SUPD, PDC), surfaces prioritized outreach queues with “why this member” reasons, and ranks providers with scorecards. An exec-friendly Streamlit view shows lift and ROI, while dbt + Great Expectations ship an audit-ready evidence bundle. Run locally in minutes—scale to your warehouse when ready.
QMTRY teams with federal primes to deliver compliant, audit-ready data work—combining PMO discipline with healthcare analytics and compliance expertise. We’re fully procurement-ready (SAM.gov UEI G1RAMD6SHKZ1, CAGE 13N38, accepts purchase cards) and certified Metro SBE and DBE (CUCP #53388, Metro File #10341) with coverage for NAICS 541512, 541511, 541690. Engagements move fast: NDA → teaming/SOW → secure access/BAA → sprint delivery with measurable outcomes and evidence you can audit. Nationwide, remote.
