Healthcare Payers

Digitize your healthcare payer processes to ensure compliance with industry regulations and deliver a superior member experience.

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 Digital Process Automation Software for Healthcare Payers - Healthcare Payer

Digital Process Automation Software for Healthcare Payers


Transform your healthcare payer processes and keep up with the needs and expectations of your members and providers. Streamline and future-proof your key processes, including appeals and grievances, provider contracting, and mobile Medicare enrollment. Leverage our platform-based solutions to ensure compliance with regulatory guidelines, overcome operational inefficiencies, and enable contextual member engagement.

Healthcare Payer

Medicare Enrollment

  • Intelligent prospecting
  • Anytime, anywhere enrollment and information access
  • Automatic data capture and population
  • Document management
  • Compliance and data security
  • Seamless system integration

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Healthcare Payer

Provider Contracting and Servicing

  • Intelligent contract creation and management
  • Provider credentialing and case routing
  • Comprehensive communication management
  • Document archival and accessibility
  • External integration and data capture

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Healthcare Payer

Appeals and Grievances

  • Duplicate and previous case management
  • Intelligent case routing and assignment
  • Automatic document generation
  • 360-degree case visibility
  • Audit documentation and packet generation
  • Unified system for information capture

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Success Stories

Improved adherence to due dates by 50% - Healthcare Payer
Improved adherence to due dates by 50%
Leading health plan automates appeals and grievances process to mitigate bottlenecks, expedite resolution time, and...
Enabled branchless and paperless onboarding - Healthcare Payer
Enabled branchless and paperless onboarding
Health plan, with expertise in government-sponsored healthcare, digitizes member enrollment process to enable remote and...
Reduced provider review and approval time by 40% - Healthcare Payer
Reduced provider review and approval time by 40%
US-based health plan streamlines provider contracting process to optimize costs, increase efficiency, and ensure data...

Where are you in your digital transformation journey?

We have compiled tools and documents to help you in your journey. Knowing that “what you see depends on where you stand,” we have something for you, as a line-of-business operations in-charge, an IT leader, or a C-level executive, for your industry-specific needs.
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At this stage, you might find that the available technology/solution is going beyond your initial expectations in terms of scope. This is also the stage of building consensus among your peers for your industry-specific needs, whether you are a line-of-business operations in-charge, an IT leader, or a C-level executive.
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This stage is all about looking beyond features and functions. After all, addressing just the immediate need can translate into “short term gain but long-term loss.” Invest in a technology that solves for your today’s needs and is extensible and configurable for your unknown future needs. As a line-of-business operations in-charge, an IT leader, or a C-level executive, you don’t want to go through the same process in another 2-3 years !
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It all comes down to choosing the right partner. Their innovation history, industry focus, local presence, support services, partner ecosystem, technology strength, cost effectiveness, customer references, risk rating, and lot more needs to be evaluated. As a line-of-business operations in-charge, an IT leader, or a C-level executive, you are all evaluating them from your unique perspectives!
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That feeling of achievement and relief after a successful, on-time, in-budget project is all what you look for. Believe us, the feeling is mutual. As a line-of-business operations in-charge, an IT leader, or a C-level executive, make sure you celebrate the milestone, recognize everyone who made the project successful, and identify your additional digital needs.
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