Use Case
Member 360 with Data Cloud
The Problem
The Challenge
Payers maintain member data across claims systems, clinical data feeds, CRM records, and engagement platforms — creating fragmented views that undermine member services and care coordination. A member service representative answering a call sees claims data but not recent clinical encounters. Care coordinators have clinical data but can't see engagement history. Marketing sends campaigns without knowing a member's active care plan status.
Our Approach
How Selah Approaches This
We implement Salesforce Data Cloud to unify member data across clinical, claims, and engagement sources into a true member 360. FHIR R4 integration brings clinical context into the member profile, identity resolution reconciles records across systems, and real-time harmonization ensures the member 360 is always current — not a nightly batch snapshot.
Technology
The Architecture
Salesforce Data Cloud serves as the unified data platform, ingesting and harmonizing data from clinical systems (via FHIR R4), claims platforms, and engagement tools. Health Cloud provides the operational CRM layer. Identity resolution reconciles member records across all connected sources to build a single, authoritative member profile.
Deliverables
What You Get
- Unified member 360 profile
- Clinical + claims + engagement data integration
- Real-time data harmonization
- Segmentation and analytics-ready data model
Ready to Start?
Most healthcare IT projects fail because of who's not in the room.
At Selah, you talk to the person who will actually do the work — from the first call to go-live. No account managers. No bait-and-switch. No surprises.