InsightPro Demo
CLAIMS FEATURES

Work Distribution

Efficiently assigning work based on roles and resources.

Inventory Management

Real-time tracking, aging analysis, and capacity utilization.

Auto Triaging/Deep Learning

Deep learning to categorize and prioritizing incoming claims.

Target Management

Data insights enable precise goal-setting.

Optimized Workflow

Reducing manual effort and minimizing the risk of inaccuracies.

Production Forecasting

Informed decision-making and resource utilization optimization.

Production Planning & Control

Precise capacity planning for seamless resource utilization.
 
See All Features For Claims
QA FEATURES  

Sampling

Enhances the precision and reliability of quality checks within the operational framework.

Inventory Management

Tracking for automated inventory replenishment according to defined rules and capacity.

Work Distribution

Using AI/ML to allocate samples to analyze experience, line of business, costs, and other parameters.

Criteria-based Audit

Seamlessly evaluation compliance with predetermined criteria for different types of samples.

Audit the Auditor

A proprietary process that conducts multiple levels of audits at each stage.

Real-time Error Feedback

Enhances responses with automatic notifications and dynamic interactions that amplify audit precision.
 
See All Features for Quality Assurance
CSR FEATURES  

Work Summary

Summary of the previous work day so Customer Service can start off strong with an overview of their performance and responsibilities.

Call Kick-off

Structured and efficient way for Customer Service to initiate and document calls with members and providers.

HIPAA Verification

Ensuring that health-related information is accessed and shared only with authorized individuals.

Member Landing Page

Member demographic information, eligibility/claims/billing information and call history information.

Call Reason

Call documentation and categorization to help manage inquiries based on the nature of each call.

Quick Reference/Actions/Views

Real-time access to information and streamlined communications across departments.
 
See All Features for CSR
Contact Us     |    Request a Strategy Session

REAL-TIME MONITORING

Effortlessly Observe Team Activities and Productive Work Routines

Home » Capabilities » Real-time Workforce Monitoring

Real-time Workforce Monitoring

Effortlessly observe team activities as they happen, ensuring productive work routines. Instantly gauge user availability for interruptions, promoting task-focused interactions. Visualize usage patterns via individual or group-based computer charts.

  • Real-time Activity Monitoring enables instant viewing of team members’ activities to ensure healthy work patterns within the healthcare context and verify compliance.
  • With Seamless Availability Check, you can identify real-time user availability for work tasks, minimizing disruptions in healthcare workflows and communication.
  • Proactive Break Management involves regular activity monitoring to promote breaks and reasonable work hours, preventing burnout among healthcare professionals.
  • Customize Information Display to show personalized details like user names, applications, URLs, and usage duration, offering specialized insights for healthcare operations.
  • Visualize Work Patterns through charts that analyze computer usage by individuals or groups, enhancing healthcare team coordination and optimizing task allocation.