Abstract: An example method comprises receiving a protocol associated with a particular medical condition, selecting a subset of the events of the protocol to be adherence objects of an adherence path, determine a time frame predicate for each adherence object, determine an object predicate for each adherence object, retrieving patient information from medical records of patients of the medical entity, determining for each adherence object if each particular adherence object was performed as a part of that patient's treatment related to the medical condition including determining if the time frame predicate and object predicate are satisfied, and generating patient adherence object score for each adherence object of the adherence path, generating a medical entity adherence score based on the patient adherence object scores, the medical entity adherence score indicating that medical entity's compliance with the adherence path, and generating a report indicating the medical entity adherence score.

Abstract: An example system includes a memory, processor, and instructions to receive a set of multidimensional adjudicated claims data, receive metric and lens functions, perform the metric and lens functions on a set of dimensions of the claims data to map claims to a reference space, generate cover of overlapping sets of the reference space, cluster the mapped claims in the reference space using the cover to identify nodes and edges, identify groups of nodes in a graph based on known improperly denied, for each group, identify differentiating drivers, and generate a denials application user interface depicting different cards for each of at least a subset of the identified groups in the graph that includes the known improperly denied claims, each card indicating a set of primary statistics of the claims in the nodes of that group, for each card depicting the differentiating drivers of that group.

Abstract: An example method comprises receiving a protocol associated with a particular medical condition, selecting a subset of the events of the protocol to be adherence objects of an adherence path, determine a time frame predicate for each adherence object, determine an object predicate for each adherence object, retrieving patient information from medical records of patients of the medical entity, determining for each adherence object if each particular adherence object was performed as a part of that patient's treatment related to the medical condition including determining if the time frame predicate and object predicate are satisfied, and generating patient adherence object score for each adherence object of the adherence path, generating a medical entity adherence score based on the patient adherence object scores, the medical entity adherence score indicating that medical entity's compliance with the adherence path, and generating a report indicating the medical entity adherence score.