It’s effective for indexing, allocating, monitoring and measuring all events and triggers and reduce dependency on manual documents and case management. It provides a unified, user-friendly interface to the agent that simplifies the process. Sympraxis boosts agent productivity, increases accuracy, and enhances customer experience.
One of America’s leading non-profit integrated health plan providers needed help to improve recording of Social Security Numbers (SSN) and Taxpayer Identification Numbers (TIN) information of its members, to comply with the provisions of the Affordable Care Act.
Firstsource’s automated system Sympraxis was deployed to enter the missing data efficiently. The process reduced time for entering the missing data and the room for errors. Once converted to the Sympraxis system for input, data entries increased significantly to an average of 5000 entries per day. The system eliminated operational inefficiencies and delivered results in quick time.
A customized front end portal assisted in efficient data entry directly into the client database. Through the creation of this portal, Firstsource was able to deliver 60,000 files in 12 business days, ahead of schedule. This allowed for an early start on phase 2 which included 25,000+ entries completed in 7 days. All project deadlines were met in record time and Firstsource delivery exceeded client expectations.
One of the largest health insurance carriers in the US identified a 250% growth potential in business between 2013 and 2015 as a result of the Affordable Care Act (ACA), which stipulated a combined out-of pocket limit in 2014 for medical and drug costs.
The out-of-pocket limit is calculated and reconciled by a Firstsource reconciliation team. Multiple sources increase the complexity since the entire process is manual, giving room for errors. Firstsource implemented automation to avoid multiple screen navigation and automate excess and Out-of-Pocket (OOP) calculation, bringing down the transaction processing time by 25%.
Firstsource helped in bringing cost savings through productivity gains and improving the accuracy of the entire process. The client witnessed a 27% productivity improvement leading to a $1.2mn cost saving across 3 years with additional potential of over $2mn savings via replication. Turn-around time dropped from 5 days to 2 days resulting in 250% increase in productivity.
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