IntelliPayer Claim is a powerful claim analytics solution designed to solve potential issues faced by the healthcare payer industry. Integrated with computational modelling, data mining, analytics technologies, and time scale analysis, our claim solution can help payers to optimize their claims process, ensure payment integrity, and manage costs.
Today's healthcare organizations are facing the demand of meeting healthcare reform mandates, consumerism, managing cost, payment integrity, lengthy claims management process, and unhappy customer experience. The shift to fee-for-service/value reimbursement model is driving payers to work with huge volumes of data and make timely decisions.
Identify right mix of assets, partners and processes for efficient claims processing
Strict processing guidelines
Lack of business insights
Delay in claim processing
Inability to seamlessly integrate data from various systems
Integrate data from multiple sources to provide key stakeholders with a complete, consistent view
Aggregate and share historical claims data to validate new claims using predictive analytics
An end-to-end claims transformation solution to streamline claims processing workflow
Get comprehensive detailed roadmap to implement and ensure adherence to care plans
Easily access your healthcare information, estimate costs, and manage claims effectively
Transparency into the history of claims data to make cost-efficient decisions
Our claim analytics helps payers in improving the quality of care and the health of the membership base, which helps to process
claim faster, reduce cost, and minimize fraud.
Easily manage, control and reduce claims costs
Reduce claims processing times, and bring greater efficiency
Optimize reimbursement claims and underpayment recovery directly
Improve claims adjudication process by detecting and modifying issues at their source
From member growth and retention to medical cost management, IntelliPayer is opening up other avenues and opportunities in healthcare, which includes combating fraud, driving product design, and strengthening quality of service delivery etc.Schedule A Demo