HealthPlan Data Solutions Information

HealthPlan Data Solutions (HDS) is an industry-leading pharmacy analytics partner, our mission is simple: help health plans ensure every pharmacy dollar spent delivers patient value. By expanding beyond fraud, waste, and abuse (FWA) safeguards, our 100% continuous monitoring of plan design implementation and PBM contract performance has helped health plans refocus their time on the claims that truly warrant closer review and realize millions in savings. Founded by a team of pharmacists and software engineers, HDS was built on the belief that claim visibility and accountability shouldn’t be afterthoughts — they should be integral to how pharmacy benefits are managed. Our flagship product, Claim Scan, combines over 700 proprietary claim scanning algorithms with deep clinical expertise to flag inaccuracies and ensure every dollar is spent responsibly, all through an independent, unbiased lens.