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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KPI-based Dashboards

InsightPro leverages the power of integrated dashboards and analytics to give users real-time access to process insights, helping to identify and address areas requiring swift attention.

These actionable dashboards elevate operational excellence by delivering heightened visibility and control to enhance operations management, enabling proactive decision-making, optimizing performance, and adhering to SLA standards.

Executive Dashboards

Drive process efficiency, streamline operations, identify trends, and enhance overall performance through the insightful assessment of inventory, production, productivity, and accuracy reports.

Supervisor Dashboards

Pinpoint over or under-utilized individuals and teams in order to make adjustments for balancing workloads, addressing staffing concerns, and optimizing resources.

Personal Examiner Dashboards

Examine personal performance with insights pinpointing productivity and focus influencers that identify supportive and hindering aspects of practical work. Act upon suggestions for improvement in quality and accuracy of work.

Manager Insights (Team Productivity) Dashboards

Acquire insights into monthly productivity fluctuations among teams across diverse locations or processes, enabling optimized resource allocation and enhanced performance management.

InsightPro AI Assistant Efficiency Dashboards

Measuring the effectiveness of AI expertise in answering queries accurately and finalizing the queries sent to SMEs for resolution.

Process KPI Dashboards

Display health of processes and highlight outliers related to key KPIs – TAT, productivity, accuracy, volume, etc. This streamlines intricate decisions through prompt data analysis, effortlessly allowing users to oversee and improve process health with ease, strengthen forecasting and process management capabilities.

Productivity Dashboards

Get insights on the productivity trend for all your resources. This helps you manage the workload of teams, identifying the training and ramp-up plan needed for individuals and teams.