Constantly changing demands, regulatory uncertainties, compliance burden, SLA requirements, risk of penalties, and lack of visibility and reporting – all of these make healthcare appeals and grievances (A&G) management a complex and intensive process. All the more so when handled manually. Reimagine the process with digital operations comprising multiple automation and analytics-based interventions.
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.
Medicaid Redetermination Solution (MReD for MCOs)
Automating payer audit tracking helped a US Health Plan auto-fix 50% of claims errors