Innovative Data Solutions for Claims Processing

This document is a technical report detailing the collaboration between National Consulting Partners (NCP) and the US Department of Veterans Affairs (VA) to enhance claims processing through innovative data and technology solutions. The report outlines the challenges faced by the VA, including a growing backlog of claims and increased complexity due to new regulations. It describes the development of a Neo4j graph database on the VA Summit Data Platform, which aims to standardize claims processes and address bias in adjudication. The approach taken by NCP involves leadership across multiple workstreams, defining use cases, and implementing Agile methodologies to ensure effective project management. Furthermore, the report highlights the use of Databricks for data integration, ensuring consistency and accuracy while preparing for analysis within the graph database. Overall, the document presents a comprehensive view of the strategies employed to improve the efficiency and effectiveness of the VA's claims adjudication process.