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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.

After records/documents are ingested via API or Service into the Queue(s), there are two basic ways of distributing them:

 

  1. Manual Distribution Based on Resource
    Users pick what they want to work on from any assigned work Queues. There are two variations, depending on whether the work is assigned to the OHB (Over Head Bin – a repository of documents/records) or to personal work Queues.
  2. Automation Distribution Based on Rules
    The work in the Queues can be allocated and intelligently assigned based on predefined rules using atomic distribution. Strategically group work based on LOB, Claim Type, Aging, TAT, Priority, Pending Inventory, and Errors – then assign work based on the user roles, expertise, and permissions of the resource(s).