Innova Solutions > Healthcare Services > Payers

Payer Solutions

We deliver cost-efficient healthcare payer solutions to scale up your
operational competencies and lower ownership costs

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 augment 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

You have a dream?

We have a way to get you there.

Let’s connect and see how we help companies just like yours.