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.
 
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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.
 
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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.
 
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PRIVACY AND SECURITY YOU CAN TRUST

The Highest Standard of Privacy and Security – Hosted on the HIPPA Cloud. No Data Leaves the U.S.

With our state-of-the-art HIPAA-compliant cloud infrastructure, your valuable data remains securely hosted, leaving no room for compromise on privacy and protection.

Our ironclad guarantee ensures that your data will never leave the confines of our trusted US servers, instilling confidence in your compliance with regulatory standards. Experience the peace of mind that comes from trusting our platform to safeguard your sensitive information, while providing seamless accessibility precisely when you need it.

Join us today and unlock the full potential of a secure healthcare workforce management solution

SECURITY

HiTrust

Our HiTrust certification reflects our unwavering commitment to comply with data protection regulations, employ advanced risk management approaches, and uphold top-tier industry standards. With HiTrust certification, we assure our business partners of seamless collaboration backed by robust technical expertise and a proactive stance on data security.

SOC 1 Certified

Financial Accuracy Assured

We are SOC 1 certified by the AICPA, showcasing our dedication to maintaining precise financial reporting for our partners. Through rigorous audits, we’ve established robust controls that ensure the accuracy and integrity of financial data, providing our clients in the healthcare industry with the confidence they need.

SOC 2 Certified

Elevated Data Security for Payers

With SOC 2 certification from the AICPA, we’re committed to safeguarding sensitive patient information. Our audited controls for security, availability, processing integrity, confidentiality, and privacy align seamlessly with the stringent standards of the healthcare sector, ensuring our B2B partners that their data is in secure hands.

PRIVACY

HIPAA

The InsightPro application, delivered through a Software-as-a-Service (SaaS) model, operates within a cloud-based hosting environment that rigorously complies with the stringent security and privacy standards mandated by the Health Insurance Portability and Accountability Act (HIPAA). Our unwavering commitment to this approach guarantees the protection of sensitive healthcare information, underscoring our dedication to upholding the utmost levels of data security and privacy.