Claims tells you what was billed.
EHR tells you what happened clinically.
Claims data offers unmatched scale, longitudinal coverage, and payer visibility. But because claims are generated for reimbursement, many clinical details are structurally missing. These aren't gaps better vendors or smarter queries can close.
EHR data fills them directly, turning a strong foundation into a complete clinical picture.
Claims has the coverage.
EHR has the clinical truth.
You can have both.
Claims data remains foundational for its broad coverage. EHR data provides the clinical truth claims cannot.
Have the best of both worlds.
The Same Patients. Completely Different Answers.
Clinically informed integration of EHR and claims produces fundamentally different answers to every clinical question that matters, compared to using claims data alone.
patients found based on claims-based criteria have actual clinical confirmation
of true patients missed entirely by claims
Claims-identified cohorts mix true patients with false positives and rule-outs.
Claims:
EHR + Claims:
Specialty pharmacy makes many treatments invisible to claims.
85% of diagnosing physicians in the "Other" specialty category
Uncover detailed breakdown of physician specialties, aligned with clinical expectations
Claims capture who submitted a billing code, not who actually made the diagnosis.
Claims:
EHR + Claims:
Most of these flares are self-managed and never generate a medical encounter in a claim.