Health Plans and Healthcare Services
Leader in Healthcare Payer Operations
Everest PEAK Matrix®
Everest PEAK Matrix®
Health Plans and Healthcare Services
Transformative outcomes start here
Health Plans and Healthcare Services
We make it easy for you to impact every healthcare moment – big or small – across the zig-zagging customer journey. Our Healthcare Payer BPO services 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.
$1.2 M savings with 27% productivity improvement in Accumulators Reconciliation
$2 M savings by eliminating 19% of duplicate claim volume
Slashed unwanted provider inquiry by 20%, improving member and provider experience
Annualized savings of over
$1 M through reduction of un-processable transactions by over 50%
Savings of $4.8 M 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%
Unleash the power of digital
Simplify the clinical and financial experience for patients and Healthcare Providers.
Strengthen the patient support system, enhance patient care and outcomes.
Elevate the customer experience by driving digital transformation and harnessing underlying process efficiencies.
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 Healthcare 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.
Impress and delight your members with personalized and contextual services on a channel of their choice using our next-gen Digitally Empowered Customer Experience (DECX). 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.
including 7 of the Top 15
Pages digitized annually with 350 sort types, including 40 Million claims
Pages digitized annually with 350 sort types, including 40 Million claims
No more time to wait:
five steps to take now — maintain continuity of care as Medicaid continuous coverage unwinds
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