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An integrated workforce analytics platform powered by AI and machine learning.
Claims Management Solutions
Reduce denials, improve first-pass rates and cut admin burden.
Quality Assurance Solutions
Integrate sampling, capacity planning, comprehensive auditing, and rebuttals.

Contact Center
Solutions

Improve First Call Resolution with AI-enhanced integration.

How It Works

Integration

Privacy & Security

Proven it will
pay for itself in
the first year.
Our integrated workspaces are designed to help you get more done, faster.
Claims Management Features
Enhance productivity, AI-powered distribution, and production planning.
Quality Assurance Features
Improve First Call Resolution, call history and cross-department integration.

Contact Center
Features

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

CONTACT CENTER MANAGEMENT

Deliver a more personal and quality experience to members and providers with our AI-powered solutions.

Contact Center Management

Streamline communication using our contact center features to keep members satisfied and coming back for more with activity tracker, KPI Dashboards, Call Reason, View Call Highlights and more.

Block User

InsightPro elevates error control and user accountability by restricting claim processing when errors exceed a predefined threshold, ultimately safeguarding against potential discrepancies.

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Call Kick-off

InsightPro provides a structured and efficient way for Customer Service Representatives (CSRs) to initiate and document calls with members and providers.

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Call Reason

InsightPro allows Customer Service Representatives (CSRs) to capture and document the reasons for a call so they can efficiently categorize and manage inquiries based on the nature of each call.

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Efficient Workflow

InsightPro offers an interdepartmental workflow feature to keep CSRs structured and organized as they collaborate with other departments to promptly resolve queries.

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General Notes / ACW Notes

InsightPro equips Customer Service Representatives (CSRs) with the ability to capture general and Call Work (ACW) notes during a call.

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HIPAA Verification

InsightPro helps build trust between members and healthcare organizations by enforcing HIPAA (Health Insurance Portability and Accountability Act) verification.

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Idle Time and Break Tracking

InsightPro implements an enhanced workforce productivity management tool for supervisors and managers in a call center or customer service environment.

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KPI Dashboards

InsightPro leverages the power of integrated dashboards and analytics to give users real-time insights into the health of their processes.

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Member Landing Page

InsightPro creates a centralized and comprehensive resource for Customer Service Representatives (CSRs) to access essential member information.

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Quick Reference/Actions/Views

Real-time access to information and streamlined communications across departments for Customer Service Representatives (CSRs) to have easy access to member details during calls.

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Real-time Query Resolution / SME Support

InsightPro elevates support with immediate solutions backed by an AI-powered Virtual Assistant.

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Real-time Warning and Notifications

InsightPro displays automatic warnings and notifications to Customer Service Representatives (CSRs) during calls to make sure that important instructions and information are highlighted and remembered.

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Search Transaction

InsightPro utilizes a call repository search feature to expedite the retrieval of important call data for CSRs.

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Training Need Analysis

InsightPro enhances the training process by analyzing quality and productivity data within your established training programs.

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User Management

InsightPro streamlines administrative tasks to allow managers and supervisors to configure both user and group settings within their teams.

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View Call Highlights

InsightPro allows users to access a concise summary of key information and insights from a call, making it easier to review, analyze, and act upon call-related data.

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Work Summary

InsightPro implements a “Last Day Work Summary” feature for Customer Service Representatives (CSRs) so they can start their workday off strong with an overview of their performance and responsibilities.

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