Compliance Automation Regulatory Accelerator
Secure provider solution to help you combat Fraud, Waste & Abuse
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A well-run compliance system removes inherent manual processes, provides a better experience for the payer, provider, and member, and speeds up the investigation process.
CARA is designed for healthcare teams within the ecosystem by leading healthcare industry experts. CARA is a functioning solution that is fully customizable to meet specific state and federal guidelines with prebuilt templates and looks at the entire spectrum of interactions between payer, provider, and member. It enables compliance teams to streamline investigations, align with CMS regulations, and increase customer responsiveness. The solution is designed to remove manual processes by leveraging robotics process automation, artificial intelligence, and predictive analytics with investigations.
Features of Newgen Compliance Automation Regulatory Accelerator

Case Management
- Reduces penalties for non-compliance with preset service level agreements
- Eliminates the manual input process and provides rules to capture key data to initiate a case without manual intervention
- Communication with external sources for research and resolution
Robotics Process Automation
- Uses a proactive approach to manage fraud, waste, and abuse with predictive analytics while processing claims, managing appeals, and grievances, proactive approach during provider onboarding.
- Reduce manual tasks with AI, ML, and Predictive Analytics

Claims
- Enables accurate claims resolution by capturing the core data elements provided by providers/members
- Increase auto-adjudication rates, claims payment accuracy, and regulatory compliance
Reporting
- Provides intuitive dashboards for reporting
- Fully customizable Federal and State Regulatory Reporting
Learn More

eBook
Delivering Experience Across Provider Lifecycle
Read the eBook to learn how you can overcome operational bottlenecks, transform end-to-end provider lifecycle ...
April 2023

Video
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In this video, Sreedhar Suragouni - CIO - Sukoon Insurance shares their experience of working ...
February 2023

Video
Newgen’s Provider Lifecycle Management Solution
Newgen’s comprehensive, configurable, and future-ready provider lifecycle management solution streamlines complete provider ecosystem, minimizes turnaround ...
January 2023

Case Study
A US-based Health Plan Transforms Operations with...
The client is a leading health plan in the United States, having business in multiple ...
August 2022