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.

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 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.

We’re here to guide you through each solution.

Let’s work together to overcome these challenges, improve efficiency, and deliver exceptional care.

Claims Management

Our AI solution addresses up to 80% of claims processing problems and inquiries, significantly reducing administrative tasks and speeding up processing times.

InsightPro offers key features designed to streamline claims management, including inventory tracking, auto task assignment, KPI monitoring, and optimized production planning.

Accuracy and Analytics

  • KPI-based Dashboards
  • Idle Time and Break Tracking

    Workforce Strategy

    • User Management
    • Activity Tracker
    • Work Distribution
    • Optimized Workflow
    • Production Planning and Control

       

      Management Tools

      • Real-time Query Resolution
      • Target Management
      • Training Need Analysis

      Workload Organization

      • Block User
      • Block Claims
      • Check Run and Stop Loss
      • Real-time Notifications
      • Auto Triaging / Deep Learning
      • Production Forecasting
      • Inventory Management

      Quality Assurance Management

      Our AI solution revolutionizes quality assurance management by providing 30% faster rebuttals with 20% fewer errors, ensuring guaranteed quality.

      Stay ahead in the ever-changing healthcare landscape with InsightPro’s powerful, AI-driven features such as sampling, capacity planning, comprehensive auditing, rebuttal capabilities, real-time error feedback, and more.

      Accuracy and Analytics

      • Error Trend Analysis
      • KPI-based Dashboards
      • Sampling
      • Audit the Auditor
      • Criteria-based Audit

        Workforce Strategy

        •  User Management
        • Capacity Planning
        • Work Distribution

           

          Management Tools

          • Real-time Error Feedback
          • Query Resolution / SME Support
          • Training Need Analysis

          Workload Organization

          • Rebuttal Management
          • Inventory Management

          Contact Center Management

          Enhance the quality and personalization of your customer interactions with our AI-powered contact center management solutions.

          Our comprehensive suite of features, including activity tracking, KPI dashboards, call categorization, and call highlight reviews, ensures that members and providers receive a seamless and satisfying experience.

          Accuracy and Analytics

          • KPI Dashboards
          • Idle Time And Break Tracking

            Workforce Strategy

            • User Management
            • Efficient Workflow
            • Quick Reference/Actions/Views
            • Work Summary

               

              Management Tools

              • Real-time Query Resolution
              • General Notes ACW Notes
              • Call Reason
              • Member Landing Page
              • HIPAA Verification
              • Training Need Analysis
              • View Call Highlights

              Workload Organization

              • Block User
              • Search Transaction
              • Call Kick-off
              • Real-time Warning and Notifications

              Schedule a Strategy Session

              Discover how InsightPro can help you manage your workforce with a first-of-its-kind analytics platform developed for payers of every size.