payers

We deliver an array of digital solutions and platforms for payer customers to mature the value based care, providing deeper insights through data analytics to manage high-risk and rising-risk patients’ care continuum, reducing rates of human errors through intelligent automation.

Digital solutions and platforms help healthcare payers streamline core administrative services, reduce risk, and improve member satisfaction.

Solutions

Our work with payers is focused on creating robust evidence-based decision support solutions that include : Automation of claims processes, interoperability solutions, regulatory compliance, automation of core administrative services, medicare and medicaid solutions, payment integrity solutions, and building member portals.

  • System and application modernization
  • Robotic process automation
  • Quality and risk adjustment
  • Advanced analytics and business Intelligence
  • Mobile applications
  • Member portals
  • Interoperability framework
  • Payer payment solutions
  • Payment integrity solutions

Recent projects

  • Enrollment and member service portals
  • Portal to support credentialing, ERA and EFT
  • Intelligent automation of business processes
  • Core system modernization
  • AI based decision support solution
  • Cloud migration and master data management
  • Chatbots to augument the member engagement
  • Consolidated consumer communication platform

Success Stories

Reduced development effort by 400 hours to incorporate state DOI, federal, and business changes.

Delivered value-based solution for health plans and payers of diverse healthcare specialties

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