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Claim Sense uncover innovative ways in process claims effectively and efficiently while keeping the cost optimized
Healthcare payers are facing two major challenges in the current healthcare landscape. They need to ensure operational efficiency and lower the claims processing cost in a rapidly changing industry. About 20-30% of claims require manual handling, leading to "pending" statuses and additional fees. Furthermore, processing low-value claims is often more expensive than their actual value, which makes it difficult to decide whether to automate, auto-adjudicate, or handle them manually.
Transforming Healthcare Payors' Claims Operations, our innovative approach swiftly addresses pending codes through comprehensive dependency insights. This method halves claim iterations, significantly reduces claim cycle time, and results in substantial cost savings. The outcome? A remarkable 12% decrease in operational expenses, highlighting the solution's ability to optimize Healthcare Payors' Claims Operations. Additionally, our solution achieves a 40% auto-approval rate for low-value claims, elevating claim operations to unparalleled levels of efficiency and effectiveness.
50+ Years of Technology Expertise
Our wealth of experience has equipped us with the proficiency to deliver exceptional services to you.
4K+ Processes Modeled
We have effectively assisted organizations with capable process modeling to enhance productivity.
50+ Certified Consultants
Our team, with extensive knowledge, provides the best service and support to meet your needs.
1000+ Tasks Automated
We have successfully automated processes with enormous results benefiting the organization.
Discover our array of expert services crafted to boost your business. From tailored consultations to efficient technology management, we're committed to driving your growth and ensuring success in the digital realm.
Effortlessly unlock business success by connecting with a dedicated Advisor, receiving a personalized Technology Roadmap, and focusing on business growth with your technology needs in capable hands.
Talk with a dedicated Advisor who can help you assess your company so that you can know exactly what your needs are.
After your call, we will send you a personalized Technology Roadmap to help you discover the solutions that are right for you.
Now that your technology needs are being handled, you can focus on running your business and staying ahead of the competition.
Because we put you first. Our customer-obsessed working model honors client's needs.
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