Lorica Health provides advanced claims analytics solutions and services to the healthcare sector.
Our specialist team of data scientists, domain experts, analysts and engineers develop industry specific solutions which target fraud, abuse and waste, while also making markets that improve the quality and safety of health care.
HIBIS analyses more than two thirds of Australia’s private health insurance claims for 30 of Australia’s 33 private health insurers, enabling the automatic detection and management of health claims leakage, inclusive of fraud, abuse and errors.
Our I+Plus analytics platform is a health claims analytics tool which offers rich and responsive performance analytics in support of bench marking, contracting and management of health service delivery.
Lorica Health was first established in 2011 as CMC Insurance Solutions, a commercial spin off of research conducted the Capital Markets Cooperative Research Centre (CMCRC), a $100 million funded research and development centre founded in 2001. CMCRC played a central role in the development and commercialisation of SMARTS, a world-leading surveillance solution used by financial markets regulators, exchanges and brokers across 40 countries and acquired by NASDAQ in 2010.
Our logo incorporates an x-ray photographic study of a chambered nautilus shell (Nautilus pompilius) by Jim Wehtje and expresses the striking fusion of healthcare (the x-ray), mathematics (the naturally occurring logarithmic spiral) and protection (lorica is latin for body armour), features that also prevail in the work we conduct for the health system.