A centralized hub showing the status of all resources in one consolidated view for more efficient and informed decision-making that solves the problem of having to gather data from multiple sources.
Activity Tracker-Claims
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Claims
Audit Trail-Claims
A visualization of proper execution for actions, timing, locations, and transactions, to ensure alignment and detection of deviations for regulatory compliance and transparency.
Block User-Claims
Restricts claim processing when errors exceed a predefined threshold to enforce quality standards at both user and threshold levels.
Block Claims-Claims
Minimize the time spent on repetitive tasks and reduce processing time by grouping claims under similar providers and CPT codes rather than having to manage them individually.
Check Run & Stop Loss-Claims
The system distributes stop loss-related claims so that critical issues are promptly addressed, minimizing potential losses and operational disruptions to ensure timely task handling and strategic resource allocation.
User Management-Claims
Streamline administrative tasks with configurable user and group settings, along with a defined set of access privileges, to reduce change requests and manual adjustments.
Training Need Analysis-Claims
Enhance training performance effectiveness through continuous benchmarks and dynamic ramp-up plans with outlier detection and quantitative training evaluations powered by machine learning.
KPI Based Dashboards-Claims
Harness the power of actionable, centralized dashboards to leverage real-time insights and assure efficiency, transparency, and effectiveness – ultimately getting a return on investment in just the first year.
Real-time Query Resolution-Claims
A virtual assistant chat bot, powered by AI/ML, that either provides real-time solutions or seamlessly transitions the users to the right subject matter expert for efficient query resolution.
Real-time Notifications-Claims
Automatic alerts for potential errors and KPI thresholds to protect data quality and ensure timely corrections, all powered by AI/ML that fosters a culture of continuous improvement and efficiency standards.
Idle time and Break Tracking-Claims
Resource allocations coupled with customized time management recommendations to strategically categorize tasks into productive and non-productive activities to help managers align objectives and give productivity a giant boost.
Production Planning & Control-Claims
A continuous inventory appraisal that compares KPIs to target daily volume, resources availability, average productivity, and expected turnaround time in order to forecast a change in resource volumes or potential deviations.
Production Forecasting-Claims
A real-time assessment of current inventory levels and aging as compared to available resources and target volumes that work as an early warning system to maximize efficiencies.
Optimized Workflow-Claims
Continuous efficiency oversight organized by workflows that reduce inefficiencies and redundancies, automate error-prone tasks, pinpoint obstacles and establish KPIs for performance management, and seamless integration.
Target Management-Claims
A holistic, automated approach to ensure precise target alignment with business objectives in order to optimize productivity goals and accommodate varying resource capacities with collaborative alignment and transparency.
Auto Triaging/Deep Learning-Claims
A customized categorization model using AI and deep learning to triage and streamline document management workflows that are unique to the demands and variability of healthcare data.
Inventory Management-Claims
A comprehensive deep dive into daily inventory by following the lifecycle of all records, spanning from creation to disposition, to identify monthly trends, empower intelligent decision-making, and reduce manual tasks.
Work Distribution-Claims
Optimize resource utilization using an automated allocation to assigns tasks using predefined rules as well as a manual selectionto choose tasks from assigned queues.