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Insurer — Executive + CIE

MLR/PMPM hero, Clinical Integrity Engine alert stream, shared-savings waterfall, k-anonymity enforced throughout.

insurer.averra.ae / executive
  • ◆ Executive
  • Cohorts
  • Risk
  • Outcomes
  • Integrity
  • Pre-auth
  • Shared savings
  • eClaimLink
  • Actuarial
  • GLP-1
Status
Azure UAE-N ●
NABIDH ●
eClaimLink ●
Executive · Q2 2026
All data anonymized · k ≥ 20 enforced
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MLR
82.4%
▼ 1.8 pp vs Q1
PMPM
AED 412
▲ 2.1%
Savings YTD
14.2M
predicted
Integrity
91
/ 100
High-risk
4,218
cohort n
CIE alerts
37
12 open

MLR · 24 months

90% 85% 80% target 85% Q1'24Q4'24Q3'25Q2'26

Shared savings · waterfall

Baseline Prev. CIE Leakage Actual Saved 14.2M

Clinical Integrity Engine · alert stream

12 open · 25 acted
WhenTypeSummaryProviderSamplesz-scoreAction
20 Apr 11:12duplicateDuplicate MRI lumbar within 30d, same cohortProvider #A-1142 *14+3.2σReview
20 Apr 09:04guidelineOut-of-guideline imaging, back pain <6wkProvider #C-0308 *9+2.8σReview
19 Apr 16:40patternGLP-1 off-label pattern (n ≥ 20)22+4.1σInvestigate
19 Apr 12:18pre-authPA denied · lumbar MRI <6wk · appealedProvider #B-22011Respond
+ 33 more · providers with n < 20 suppressed
* Provider IDs pseudonymous in table; identification requires SoD approval and is audit-logged.
↳ k-anonymity banner always present. Cells < 20 suppressed with tooltip explaining why.
↳ Waterfall shows methodology link (PSM-DiD); CIs not shown here but required beside each savings number.
↳ Provider reveal = SoD 2-person approval + audit log entry.
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