Sub Industry: Health Plans
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HFS Highlight: Firstsource’s newest partnerships target the patient experience for healthcare clients
The fundamental challenge facing the US healthcare system is the counter intuitive notion of delivering less (in terms of declining utilization) for more (through higher spending). Addressing this productivity paradigm is within the immediate control of both Health Plans and Providers. To enable the healthcare industry in transitioning to a
Intelligent Automation for Health Plans: The perfect antidote for post-pandemic challenges
Intelligent Automation matters more than ever
Digital Mailrooms: The heartbeat of modern Health Plan operations
Take the traditional mailroom. A typical Health Plan mailroom receives 120,000 pieces of mail every month. A vast majority of the paper-based communication – from application submission and policy changes to claim forms and notifications is processed manually, They are also inundated with incoming data and documents in multiple formats.
Digital Post Office – Reboot physical mail and document processing for organization-wide benefits
An intelligent correspondence solution is vital to keep businesses running at the speed of digital. Firstsource’s Digital Post Office harnesses advanced digital workflow technology to meet higher security and compliance standards, reduce operational costs, streamline operations and enhance speed, flexibility, and decision making
Automating payer audit tracking helped a US Health Plan auto-fix 50% of claims errors
The challenge: Reduce payment inaccuracies and losses due to manual processes Our client, a Fortune 500 managed healthcare company based out of Minnesota, was losing close to $15M annually due to mispaid claims. At the time, the client was processing approximately 283,000 claims annually. 24% of these claims were routed
Utilization Management – Control Healthcare Costs While Improving Patient Outcomes
Firstsource’s Utilization Management services help Health Plans reduce costs while managing growing document and case volumes with greater accuracy and efficiency.
Workflow Management and Automation Solution
Sympraxis Workflow Management Solutions integrates with existing business systems to connect your organisation’s resources and enhance visibility into end-to-end processes, enabling you to drive continuous improvement.
Fast and secure electronic documents submission with SympliSend
SympliSend is an easy to use, one-stop application that allows electronic submission of documents and correspondence to support the appeals and grievance process.
Leading US Health Plan reduces TAT by over 80% by digitizing mailroom operations
The Challenge: Inefficient mail operations led to poor member experience The client is a leading US-based Health Plan with a workforce of over 285,000 professionals and a presence in more than 130 countries. As a diversified healthcare organization, the client aims to create a healthcare system that is connected, aligned
