Rising Star in Healthcare Payer BPaaS Services
ISG Provider LensTM
Healthcare Digital Services 2021
Leading Health Insurer selects Firstsource for large scale transformation
We have recently signed our largest Healthcare BPaaS deal with a leading US Health Insurer. This highly competitive, platform modernization win re-architects the client’s operations by retiring old technology and replacing it with the efficiency of a current, integrated software and service solution.
In addition to providing the latest technology, we will also take complete ownership of running their back-office systems and processes. This deal is reflective of the market’s growing collaboration between technology and business process management organizations in delivering large scale transformational work.
A pivotal deal in Firstsource’s digital journey, our solution and collaborative approach helped us triumph over the scale of integrated services providers. This is a multimillion deal with a scope of managing core-admin health plan functions bundling Platforms, Technology Services, Business Operations and IT Infra.
Normal Medicaid enrollment and eligibility processes will resume at the end of Public Health emergency (PHE), forcing States and Health Plans to rapidly complete pending verifications, redeterminations, and renewals. This will not only mean quickly processing significant volume backlogs within mandated timelines but also providing Members relevant support around the redetermination process to prevent disenrollment and protect revenue.
MReD, our modularized Medicaid Redetermination solution, blends digital engagement with proactive outreach to help States and Health Plans drive timely redeterminations even as they focus on the ongoing vaccination drive. It helps members seamlessly navigate the redetermination process, improving outcomes within three months of implementation.
We understand how important it is for you to expedite appeals and grievances and rectify complaints with quick, precise resolution. Our configurable and automated Healthcare Payer BPaaS solution provides unparalleled transparency and business controls for cases – from intake to disposition.