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Tokenizing Data to Improve Individual Health with Datavant

We have now entered a universe of “determinants of health” ranging from medical debt to housing to medication access to transportation…literally all things impact health that happen outside a doctor’s office. So is healthcare taking this into account? How are we helping those with substance abuse, rare cancers and unmanageable chronic conditions? On today’s episode…

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By Brian Urban · ·
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Tokenizing Data to Improve Individual Health with Datavant

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We have now entered a universe of “determinants of health” ranging from medical debt to housing to medication access to transportation…literally all things impact health that happen outside a doctor’s office.

So is healthcare taking this into account? How are we helping those with substance abuse, rare cancers and unmanageable chronic conditions?

On today’s episode of Healthcare Rethink, host Brian Urban, sits down with Claire Manneh, Head of Provider Research at Datavant, to talk about how the intuitive approach of tokenizing data is transforming how the healthcare ecosystem is reaching patients and improving lives!

Tune in to learn more about Claire’s public health background and her path to Datavant on this energizing episode!

The two discuss:

  1. What tokenization means and what it can do in healthcare and beyond
  2. How Claire’s work impacts health equity, health improvement
  3. Claire’s hopes for enabling lasting positive impact across the eco-system relative to data tokenization

Claire Manneh is the Head of Provider Research at Datavant. She graduated from the University of California, Berkeley and obtained a Bachelor’s Degree in Political Science and Government; Public Health Degree, Political Science, and Government.

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About the author

Brian Urban
Brian UrbanHealthcare innovation · Healthcare Rethink host, Duo Health

Brian Urban works at Duo Health. His MarketScale recordings feature his earlier FinThrive work as host of Healthcare Rethink and as a guest discussing health data, access and care delivery. Brian often asks for the story before the job title. Introducing his interview with Shawn Nason, he asks to go back before Mofi, before the board roles and even before Disney. That opening gives the guest room to explain how earlier experiences shaped the work. In his own personal conversation, Brian describes a day bookended by his children and animals: feeding dogs, ducks and chickens at six in the morning, then settling everyone again at night. His guest list also follows the people connecting health research with organizational decisions. Claire Manneh brings provider research and data tokenization to the discussion; Sameer Kokan explains the business and accountability work behind health-equity initiatives at Point32Health. Their career paths are part of the interviews alongside the technical and organizational questions.

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Denials get a queue, underpayments just look like paid claims

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Underpayments in healthcare revenue cycle operations lack the visibility of denied claims because they don't trigger alerts or queue workflows. Without dedicated ownership and line-level verification against contract terms, paid claims that fall short of their contractual amount pass through undetected.

  • 01Denial workflows activate on rejection events, but underpayments produce no event, leaving paid claims unverified by default.
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A zero payment on a claim line isn't automatically an underpayment; contract terms, particularly packaging rules, determine whether zero is correct. Chasing unsupported findings damages credibility with payers and weakens the position of legitimate disputes, so revenue cycle teams must verify the full contract terms and effective dates before treating any payment difference as a finding.

  • 01When a contract packages add-ons into the primary procedure, the add-on line may legitimately show zero payment because it is folded into the primary procedure reimbursement.
  • 02Pursuing payment differences that lack contract support burns credibility with payers and can weaken the team’s position on later disputes, including valid ones.
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A clean, paid, closed claim can still be short of the contract

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Practices can receive payment on closed, clean claims that still fall short of negotiated contract amounts because billing ends at coding, submission and posting, while no role owns checking whether payer payments match fee schedules. The speaker argues that contract-level payment review is a separate, complementary function that compares closed claims to contract terms and, run continuously, helps surface shortfalls in time to act within timely filing windows.

  • 01Correctly coded and billed healthcare claims can still result in underpayment.
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About the Expert

Brian Urban
Brian Urban

Healthcare innovation · Healthcare Rethink host

Duo Health

Brian Urban works at Duo Health. His MarketScale recordings feature his earlier FinThrive work as host of Healthcare Rethink and as a guest discussing health data, access and care delivery. Brian often asks for the story before the job title. Introducing his interview with Shawn Nason, he asks to go back before Mofi, before the board roles and even before Disney. That opening gives the guest room to explain how earlier experiences shaped the work. In his own personal conversation, Brian describes a day bookended by his children and animals: feeding dogs, ducks and chickens at six in the morning, then settling everyone again at night. His guest list also follows the people connecting health research with organizational decisions. Claire Manneh brings provider research and data tokenization to the discussion; Sameer Kokan explains the business and accountability work behind health-equity initiatives at Point32Health. Their career paths are part of the interviews alongside the technical and organizational questions.

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