AUTO ADJUDICATION
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CLAIM ANALYSIS
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Customized healthplan digital solutions
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ENVIRONMENT CONFIGURATION
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PROGRAM INTEGRITY
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PAYMENT ACCURACY
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CHAT SUPPORT
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BPO
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CALL CENTERS
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1
k+
Claims Processed Daily
1
+
Total Expert Employees
1
+
Healthplan Partnerships
Intelligent Health Plan Solutions for Modern Payers
Transform your Health Plan operations with our comprehensive suite of customized intelligent solutions. From AI-powered claims processing to program integrity and member support services, we deliver end-to-end solutions that optimize accuracy, efficiency, and member satisfaction. Our deep healthcare expertise ensures solutions that address both current challenges and future needs.
AI-Powered Claims Adjudication
Streamline your claims processing with intelligent automation. Our AI solutions accelerate adjudication, reduce errors, and increase auto adjudication rates while ensuring compliance and accuracy.
Advanced Claims Management Tools
Optimize your claims environment with sophisticated analysis and testing tools. From configuration comparisons to comprehensive testing solutions, we ensure your claims processing systems operate at peak efficiency.
Custom Health Plan Solutions
Tailored solutions designed for your unique needs. We configure and implement customized Health Plan solutions that align perfectly with your organization's specific requirements and goals.
Program Integrity Solutions
Protect your organization with robust program integrity solutions. Our comprehensive approach helps detect and prevent fraud, waste, and abuse while ensuring regulatory compliance.
Payment Accuracy Services
Enhance financial performance with precise payment solutions. We have partnered with several belwether vendors to ensure accurate payments, reduce overpayments, and optimize cost containment strategies.
Call Centers & Chat Support
Deliver exceptional member and provider experiences through our comprehensive call center and chat support solutions. Our trained healthcare professionals provide empathetic, knowledgeable assistance across all member touchpoints.
Business Process Optimization (BPO)
Streamline operations with our expert BPO services. We manage complex healthcare processes while maintaining high quality standards and regulatory compliance.