Claims Archives

An integrated workforce platform powered by AI and machine learning. See all solutions.

Claims Management Solutions

Reduce denials, improve first-pass rates and cut admin burden.

Quality Assurance Solutions

Integrate sampling, capacity planning, comprehensive auditing, and rebuttals.

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Improve First Call Resolution with AI-enhanced integration.

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Our integrated solutions are designed to help you get more done. See all features.

Claims Management Features

Enhance productivity, AI-powered distribution, and production planning.

Quality Assurance Features

Robust error feedback, rebuttal workflow, and error trend analysis.

Contact Center
Features

Improve First Call Resolution, call history and cross-department integration.

Enhancing Accuracy in Claims Management: A Strategic Approach to Quality Assurance

by daziumdesign@gmail.com | May 20, 2024 | Blog, Claims

AI claims processing, AI-driven claims processing, quality assurance, AI and ML revolution We live in an era of artificial intelligence (AI) and machine learning (ML) revolutionizing various industries. One such sector experiencing a remarkable transformation is...

AI-Driven Claims Processing: A Leap into the Future of Quality Transformation

by daziumdesign@gmail.com | May 20, 2024 | Blog, Claims

Work Distribution

by daziumdesign@gmail.com | May 1, 2024 | Claims Feature, Work Distribution, Workforce Strategy

After records/documents are ingested via API or Service into the Queue(s), there are two basic ways of distributing them: Manual Distribution Based on ResourceUsers pick what they want to work on from any assigned work Queues. There are two variations, depending on...

Auto Triaging / Deep Learning

by daziumdesign@gmail.com | May 1, 2024 | Auto Triaging and Deep Learning, Claims Feature, Workload Organization

Pre-Processing (Prepare) – All data undergoes preparation to improve its quality and suitability. The pre-processing step eliminates undesirable elements and enhances essential aspects of images, making them more compatible with AI processing. Tasks include...

Inventory Management

by daziumdesign@gmail.com | May 1, 2024 | Claims Feature, Inventory Management, Workload Organization

Inventory gets automatically tracked across its entire lifestyle, spanning from creation to disposition. Managers can then categorize ongoing tasks into age brackets like 15+ or 30+ days, identifying potential roadblocks, facilitating reallocation of volume, and...

Target Management

by daziumdesign@gmail.com | May 1, 2024 | Claims Feature, Management Tools, Target Management

Our data-driven precision provides customized efficiency and tailored productivity goals to optimize resource-specific targets and enhance operational...

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