Health Plans and Healthcare Services

Take a digital-first approach. Influence every healthcare moment

Fuse healthcare and technology strategies to reimagine healthcare

Break through the noise and uncertainty

We make it easy for you to impact every healthcare moment – big or small – across the zig-zagging customer journey. We combine our domain expertise, process transformation culture, and proven workflow efficiencies with next-gen technologies such as Conversational AI, Robotic Process Automation (RPA) and Analytics to redefine excellence. Leading healthcare organizations trust us to drive innovation as well as their top-line revenues and bottom-line profitability.

Outcomes delivered

$1.2 Mn savings with 27% productivity improvement in Accumulators Reconciliation

$2 Mn savings by eliminating 19% of duplicate claim volume

Slashed unwanted provider inquiry by 20%, improving member and provider experience

Annualized savings of over $1 Mn through reduction of un-processable transactions by over 50%

Savings of $4.8 Mn due to improved financial accuracy and reduced under/over payment

30 min TAT for Order to Cash process, accelerating sales for suppliers and faster order fulfilment for hospitals

‘60 minutes’ response time for treatment administration up from 15% to 54%

Provider satisfaction scores up from 89% to 95%

Healthcare analytics

Whether you are looking to contain costs or improve patient engagement and quality of care, analytics plays a vital role in achieving the objectives. Our proven analytics solutions help you harness vast amounts of data flowing through your organization, enabling insights-driven operations, enhancing efficiencies, and creating clinical and business value.

Intelligent Automation

The pandemic is further straining Health Plans and healthcare delivery systems already under pressure from exploding administrative costs, growing staff burnout, and evolving member and provider expectations. Upend traditional healthcare delivery with our Intelligent Automation solutions that integrate Robotic Process Automation (RPA) with Artificial Intelligence (AI) to drive unparalleled operational efficiencies, productivity and patient care.

DECC for Healthcare

Impress and delight your members with personalized and contextual services on a channel of their choice using our next-gen Digitally Empowered Contact Center (DECC). It combines the best of what humans and technology have to offer to deliver the moments that matter across the member lifecycle – eligibility, onboarding, engagement and retention.

Stay ahead with Firstsource

22 Health Plans & Healthcare Services

including 7 of the Top 15

60+ Million

Transactions annually via sympraxis

600+ Million

Pages digitized annually with 350 sort types, including 40 Million claims

Intelligent Automation for Health Plans: The perfect antidote for post-pandemic challenges

Intelligent Automation matters more than ever

Stay ahead with Firstsource

7 of the top 15

Health Plans & Health Services companies

60+ Million

Transactions annually via sympraxis

600+ Million

Pages digitized annually with 350 sort types, including 40 Million claims

Explore insights

Digital Mailrooms: The heartbeat of modern Health Plan operations

Visual IVR and Conversational AI: Game changers for healthcare contact centers

How to stop Medicaid member churn over undeliverable mail

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