---
title: "Healthcare claims data across industries: 5 high-impact use cases"
description: Unlock the power of Symphony FLEX™ to gain critical insights from open claims data, transforming your approach to healthcare analytics across various sectors.
image: https://blog.healthverity.com/hubfs/open-claims-data-across-industries-five-use-cases-featured.png
---
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# Healthcare claims data across industries: 5 high-impact use cases
[By \- HealthVerity,](https://blog.healthverity.com/author/healthverity) October 13, 2026
## Know what others can’t with Symphony FLEX™: Market-agnostic healthcare data powering AI, investment research, pharma strategy, media and policy
A pharmaceutical company may need to evaluate opportunities across its portfolio or explore a therapeutic area beyond its current focus. A consulting firm’s next assignment may look nothing like its last. An investment company may need to investigate market share shifts or forecast a company’s performance. An AI frontier lab may be building a solution that needs to work across multiple healthcare markets.
Different organizations. Different decisions. One shared challenge: How do you easily understand a market you haven’t fully explored? For these organizations, a winning data strategy needs to evolve alongside the business.
The answer isn’t simply more healthcare data. Or more data suppliers. It’s having the flexibility to investigate new questions, examine different populations and incorporate additional signals when they matter - in one offering.
That’s where [Symphony FLEX™](https://blog.healthverity.com/hubfs/2026-symphony-health-solution-sheets/symphony-flex-solution-sheet.pdf) from HealthVerity comes in. With patient-level open claims spanning prescription, medical and hospital activity for more than 300 million U.S. patients, FLEX transforms fragmented healthcare data into a consistent, comprehensive, and AI-ready asset. Standardized and enriched records, combined with advanced identity resolution, provide longitudinal accuracy and visibility into patient journeys, enabling organizations to generate unprecedented insights across therapeutic areas, industries and business challenges.
Recent enhancements - including medical payer name matching, remittance data and additional deliverable fields reflecting useful granularity like Place of Service, Type of Bill, Pharmacy Type and more - create new opportunities to understand not only healthcare activity, but also the payer and reimbursement dynamics surrounding it.
And with the option to incorporate additional clinical and longitudinal data from thousands of payers, organizations can discover activity and patient histories that may never otherwise be visible. By combining HealthVerity and Symphony Health data together, expert analysis\* uncovered:
- 44.4% more diagnosis claims covering 7 out of 10 insured patients
- 46.4% more procedure service lines covering 7 out of 10 insured patients
- 30.4% more HCPs associated with diagnosis activity
- 35.9 million patients with at least one additional year of observable history gained
Not more patients. More of what you can know about them. Because what you can’t see about a market could be what changes your decision.
Markets haven’t changed. Now what you can know about them has. Here are five ways organizations can use FLEX to know what others can’t about the markets that matter to them.
## Know what others can’t about the activity within your markets
### 1. Consulting: Know what your next AI innovation could reveal
**How can we power AI-driven insights, predictive models and advanced analytics across different client markets without rebuilding their data strategy for every engagement?**
Consultancies need to move quickly across clients, therapeutic areas and business challenges. One engagement may require an AI-powered predictive model, another an interactive commercial dashboard, and another a deeper analysis of patient journeys, treatment patterns or market dynamics. In our AI readiness webinar, we outline the data strategies that better position you for AI success.[Register](https://info.healthverity.com/ai-ready-data-learning-what-others-cant) to watch.
The challenge isn't just answering different questions. It's having consistent, connected data that can support sophisticated analytics without extensive preparation and integration for every new engagement.
Symphony FLEX™ provides standardized, enriched, longitudinal healthcare data across prescription, medical and hospital interactions, enabling consulting teams to:
- **Power AI and predictive models** to identify treatment patterns, therapy initiation, adherence, switching and discontinuation.
- **Build advanced dashboards** that reveal market dynamics, provider behavior and emerging treatment trends.
- **Accelerate custom analytics** across therapeutic areas, patient populations and commercial use cases.
- **Reduce data preparation** so teams can spend less time integrating datasets and more time developing differentiated solutions.
The advantage is a market-agnostic analytical resource that supports innovation across engagements, helping consulting firms turn complex healthcare data into actionable client insights without starting from scratch.
### 2. Investment: Know what the market opportunity looks like beyond the obvious signals
**What if the market you’re evaluating is bigger, smaller or fundamentally different than your initial assumptions suggest?**
Investors may need to assess opportunities across products, companies and healthcare categories. That requires the ability to investigate markets beyond those they already follow.
FLEX can support analysis of observed utilization, patient populations and provider activity across relevant categories. Medical payer information adds context about the organizations associated with medical activity; remittance data provides another perspective on reimbursement.
These inputs can help analysts test a thesis, identify questions for deeper diligence and distinguish changes worth investigating. For example, an apparent utilization trend may warrant closer examination of the patient mix, providers involved or payer patterns around it.
The repository’s **46.4% procedure service-line lift\*** illustrates why source coverage can matter to utilization assumptions. While it doesn’t mean that every market will experience the same increase, it does demonstrate why understanding source coverage matters when evaluating utilization-based assumptions.
The goal is a better-informed assessment of the opportunity and the assumptions behind it.
### 3. Pharma: Know what lies beyond your current portfolio
**What opportunities might you overlook when your data strategy is built around the brands you already have?**
For pharma, FLEX is especially relevant when the question spans therapeutic areas, brands or business functions.
Business development teams investigate new therapeutic categories. Portfolio planning teams compare opportunities across categories. Enterprise analytics teams support several workstreams with changing population definitions and analytical needs.
Market-agnostic data supports that broader scope. Teams can examine adjacent markets, compare relevant populations and explore payer or reimbursement context as priorities evolve.
A focused patient data offering may be the right fit for a defined brand-level question. FLEX becomes more compelling when the organization needs breadth across markets and flexibility across multiple analyses.
### 4. Media: Know whether you’re seeing the providers and populations that matter
**What if the healthcare** [audiences](https://healthverity.com/audiences/) **you’re targeting represent only part of the observable market?**
Healthcare media strategies depend on understanding the populations and providers relevant to each client's objectives. But those populations aren't interchangeable across therapeutic areas.
A specialty therapy may involve different providers, care settings and patient pathways than a chronic primary care condition. The clinical signals relevant to one market may be very different from those that matter in another.
Symphony FLEX supports analysis of patient and provider populations across healthcare categories, helping teams investigate observed care patterns, treatment activity and relevant HCP groups.
And additional data sources may reveal providers not observed in a narrower dataset. In HealthVerity's analysis\*, incorporating four additional suppliers revealed **30.4% more HCPs** associated with diagnosis activity in 2025.
This raises an important question for media planners: What could broader provider visibility reveal about the market they're trying to understand?
### 5. Healthcare Research & Policy: Know what happens beyond a single condition or care setting
**What if the most important insight about a patient population lies outside the condition or care setting you're studying?**
Healthcare utilization rarely fits neatly within one diagnosis, treatment or care setting. Patients interact with different providers, receive services across multiple settings and experience changes in treatment and healthcare needs over time.
For researchers, healthcare organizations and government agencies, understanding these patterns is essential to evaluating treatment effectiveness, healthcare utilization, patient safety and policy impact.
Symphony FLEX™ provides a market-agnostic, longitudinal view of healthcare activity that supports a range of research and analytical applications, including:
- **Real-world treatment evaluation:** Examine how therapies are used in routine clinical practice, including treatment initiation, switching, discontinuation and adherence.
- **Safety surveillance:** Investigate potential adverse events and treatment patterns across patient populations and care settings.
- **Healthcare utilization and policy research:** Compare patient populations, evaluate utilization trends and assess changes in care delivery over time.
- **Payer and reimbursement analysis:** Use medical payer identification and remittance data to investigate payer mix, coverage dynamics and financial responses to billed care.
- **Population-level research:** Study patient journeys and treatment patterns across conditions, including populations that may be underrepresented in traditional clinical trials.
The advantage is the flexibility to investigate healthcare questions beyond a predefined market or condition, helping research teams and government agencies generate evidence that informs clinical, regulatory and policy decisions.
## Know what others can’t across the markets that matter
Knowing what others can’t isn’t about collecting data for the sake of having more data. It’s about asking better questions, examining assumptions and uncovering information that could change what you do next. Your data strategy shouldn’t limit the questions your business can ask.
Symphony FLEX provides a market-agnostic starting point, with medical payer matching, remittance data and additional deliverable fields to support evolving analytical needs. Optional clinical and longitudinal data allows you to explore more observable activity and patient context.
Because the next question worth asking may be the one your traditional view can’t answer.
**Talk with HealthVerity about how [Symphony FLEX](https://blog.healthverity.com/hubfs/2026-symphony-health-solution-sheets/symphony-flex-solution-sheet.pdf) can support your next business question.**
\**Analysis reflects calendar year 2025 data and compares the Symphony Health repository before and after the addition of four HealthVerity data suppliers. Results represent increased observable activity and patient history within the existing Symphony Health patient population, not the addition of new patients. Findings are specific to the datasets and time periods analyzed and may vary by market, therapy and use case.*
**[](https://blog.healthverity.com/hs/cta/wi/redirect?encryptedPayload=AVxigLIREA%2BZMmEMMkATP9bizEyj9QSdfJnuRQx365Zt0MPnwKG8Wc0DZSFbCJzTawX4cLt9JDePuXyT8%2FDRQH29zvOburMf6qHhD%2BR3MSfzilkdkj4aSnFncsm1r2Ref89BdkfyhSkRKMgoHbAzQBW6zSCb8ZsuS%2FJj%2BYmaK2mkeF4gPTInQH6BNMKtDKyOOtnQoz0lp2Iz9ttSBWWTY%2BL9pA%3D%3D&webInteractiveContentId=223004088925&portalId=5412465)**
[](https://blog.healthverity.com/hs/cta/wi/redirect?encryptedPayload=AVxigLILEsbltcWWDslZvYIFD%2BgTjAjeCTXmna%2BTAKkzS%2FhAVarvqdYod%2BHwcmd5G1Ciuv6N2%2B8Qk82TTklHmGmB3izShj91RYHlWhL4GQdjgJK9%2Bjm4c8OACcd16mOUR3hTpmWTo8dP5IkM3xV7f6%2BUUw0Ag%2FcP4P%2FDIe1zmeWKvV7jbvTY5xWNgCW4NB0LK8dPjctL6%2BfSOCJLpW1d&webInteractiveContentId=195733501532&portalId=5412465)
[](https://blog.healthverity.com/hs/cta/wi/redirect?encryptedPayload=AVxigLILP25iqYmsplJCPgcwaR6Mozo29Q2OAgSGinCzSJUcUfrvjpcRKMd8ADT1wxUslWjHEcfchJXY2HUqve4Ag5G0fOaf8X6dDvJy9D1Qllj37EPe8dcSqTgO%2B3%2Fp3kCxOoZ5FvRfUVGB7xB9m%2FthvE5JMQdLT5MAMdBGCGdkY7d1BicmVeYQptRN%2FMC2mHbJVn%2FlMGikKV4AOgTC&webInteractiveContentId=214690873935&portalId=5412465)
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