Genzeon Payer Intelligence Suite - Fabric IQ on Microsoft Fabric
Genzeon
Member, claims, and clinical data scattered across 15+ siloed systems. Prior auth, fraud review, and outreach still running on slow manual work. Star Ratings and HEDIS demanding accurate, always-on reporting.
Genzeon's Payer Intelligence Suite — powered by Microsoft Fabric IQ — changes that.
Fabric IQ is the semantic intelligence layer for your existing payer data estate. It sits on top of Facets, HealthEdge, TriZetto, and more — adding one governed meaning across your data. Nothing moves; Fabric IQ adds the intelligence layer on top.
At its core, Fabric IQ delivers six capabilities working together as a shared brain for your payer organization:
Six Core Components of Fabric IQ:
- Ontology — one definition for every payer entity, enforced everywhere
- Graph — maps relationships to surface hidden fraud and care gaps
- Data Agent — plain-English answers drawn from live, governed payer data
- Operations Agent — always-on monitoring with real-time alerts, 24/7
- Planning — live MLR and Star Rating forecasts, not stale spreadsheets
- Power BI Semantic Model — one certified model, zero conflicting numbers
Built Across the Payer Value Chain:
- Member 360 — from fragmented records to a single intelligent member view
- Prior Authorization — from days of delays to minutes of intelligent auto-approval
- Risk Adjustment — capture every diagnosis, close every coding gap
- Network Optimization — build a smarter, higher-value provider network
- HEDIS / Star Ratings — from year-end scramble to year-round quality excellence
- Fraud, Waste & Abuse — catch suspicious activity before payment leaves the door
FORGE — Fabric IQ Accelerator:
FORGE (Fabric Ontology Readiness Gateway for Enterprise Payers) is Genzeon's Fabric IQ accelerator — six purpose-built components that turn months of ontology design into weeks. Ontology entities are coded to FHIR R4, ICD-10, CPT & CMS data standards — no custom mapping required:
- Payer Ontology Library — pre-built definitions for Member, Claim, Provider & more
- Source Connector Pack — plug-and-play connectors for Facets, HealthEdge, TriZetto, EDI 837/835
- Agent Template Manager — pre-tested prompts for care managers & compliance teams
- Compliance & Governance Pack — HIPAA/HITRUST configurations built in from day one
- Power BI Semantic Model Accelerator — ontology-aligned dashboards ready in days
- Data Agent Intelligence Pack — curated context behind governed, accurate answers
Fabric IQ QuickStart — 6 Weeks:
Phases: Scope & Assess (Weeks 1–2) → Build & Configure (Weeks 3–4) → Test & Transition (Weeks 5–6)
QuickStart deliverables:
- Fabric IQ workspace enabled on your Azure tenant
- Ontology built for one selected use case
- Up to 3 data sources connected via OneLake
- 1 Data Agent + 1 Operations Agent workflow configured
- Graph visualization, demo walkthrough & knowledge transition
Projected Business Impact:
- 60%* reduction in fraud investigation time
- 85%* of prior auths auto-processed
- $10M+* potential annual savings
*Modeled on Fabric IQ's FORGE architecture. Actual results may vary.
Why Genzeon for Fabric IQ:
- Deep Payer Domain DNA — 12+ years and 75+ healthcare clients; we don't learn your domain, we bring it
- Full Fabric Stack Expertise — across Fabric IQ, OneLake, Power BI, Azure ML & Microsoft Purview
- End-to-End Ownership — one partner from data readiness through managed services; no hand-offs
Investment: $50K – $60K | Duration: 6 Weeks | Azure Tenant Required | Complexity-Based Pricing