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.

Workforce Strategy

Automate error-prone tasks, set measurable targets, and incorporate continuous enhancements through user input, ensuring adaptability in a dynamic healthcare landscape.

Workforce Optimization

Revitalizing healthcare workflows demands strategic planning. This capability identifies inefficiencies and inspires action to help simplify operations. Automate error-prone tasks, set measurable targets, and incorporate continuous enhancements through user input, ensuring adaptability in a dynamic healthcare landscape.

Optimal Workforce Performance

Identifying bottlenecks and streamline workflows using analytics, enabling efficient resource allocation and task assignments.

High-performing and Adaptable Workforce

Leveraging  skillsets and experience, suggesting strategic resource realignment to maximize employee potential.

Increasing Workforce Productivity

Utilizing real-time insights to monitor productivity, enabling proactive adjustments and targeted coaching.

Workforce Access

Facilitate seamless user invitation and management by simplifying administrative tasks like user removal as well as group configuration through automated processes. 

Effortlessly create, delete, and manage user groups for streamlined organization.

Manage tracking preferences by adding/removing users from the Do Not Track list.

Seamlessly modify user-group associations for efficient access management.

Workforce Capacity Planning

Optimize resource allocation with data-driven workforce planning to improve the effectiveness of your operations.

  • Efficiently record and report workflow elements, uncovering participant actions, locations, and transactions for alignment and transparency. Audit trails support compliance verification, improvement, and training.
  • Elevate resource oversight with integrated activity tracking, empowering supervisors with comprehensive task insights.
  • Centralized data streamlines decision-making and optimizes resource utilization.
  • Tailor work distribution through manual selection or automated allocation, catering to various tasks and enhancing efficiency.
  • Integrating workflow insights and resource management, data-driven decisions streamline processes, boost performance, and optimize resource utilization for enhanced operational outcomes.

Workforce Scheduling

Elevate healthcare workforce scheduling with data-guided efficiency. Anticipate resource requirements, refine case prioritization, and seamlessly adhere to service-level agreements.

  • InsightPro enhances production planning in healthcare by leveraging data-driven strategies evaluating processes based on inventory, available resources, and productivity metrics.
  • Prioritize Cases Strategically: Managers gain instant insights to allocate resources effectively and enhance success rates, avoiding the cost of missing Service Level Agreements (SLAs) and regulatory requirements.
  • Optimize Operations: Utilize data-driven evaluations to streamline healthcare production control and ensure timely deliveries while managing service level agreement adherence risk.
User Management

User Management

This functionality enables the establishment of groups, assignment of users, and definition of access privileges in order to eliminate change requests and labor-intensive manual adjustments. The intuitive nature of our tool enhances administrative efficiency and...

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Work Summary

Work Summary

Using performance tracking and message notifications, CSRs experience enhanced accountability, improved workflows and streamlined communications. This helps your team stay on track and informed at an individual level, benefiting your organization at a team level.

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Quick Reference / Actions / Views

Quick Reference / Actions / Views

This well-designed information system empowers CSRs to provide excellent service, resolve inquiries efficiently, and collaborate effectively with other departments when needed. Our information system also integrates seamlessly with your CRM or case management system...

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Efficient Workflow

Efficient Workflow

Our tools builds a robust workflow system that manages various tasks from various departments. This seamless collaboration provokes proactive communication, bringing transparency to the status of pending work within each department. With these internal processes...

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Work Distribution

Work Distribution

After records/documents are ingested via API or Service into the Queue(s), there are two basic ways of distributing them: Manual Distribution Based on ResourceUsers pick what they want to work on from any assigned work Queues. There are two variations, depending on...

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Production Planning and Control

Production Planning and Control

It employs accurate forecasting, streamlined work distribution, workflow automation, and meticulous capacity planning to ensure seamless resource utilization and elevate delivery outcomes. By assessing processes through various KPI parameters and ranking them based on...

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User Management

User Management

This robust tool eliminates the need for change requests and manual adjustments by providing configurable user and group settings, allowing for seamless group establishment, user assignment, and precise access to privilege control. Users gain effortless configuration...

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Audit Trail

Audit Trail

Users get insights into participants, actions, timestamps, locations, and transaction methods in order to ensure transparency and accountability. This multifaceted tool also verifies task execution adherence and supports regulatory audits to validate compliance with...

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Optimized Workflow

Optimized Workflow

Then manual and error-prone tasks are automated, establishing KPIs to quantify the workflow’s effectiveness. This seamless integration of enhancements fosters continual improvement through user input and vigilant monitoring, ensuring sustained adaptability amid...

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Activity Tracker

Activity Tracker

This dynamic tool centralizes resource information, eliminating the need to gather data from multiple sources, to facilitate quicker decision-making and optimized outcomes. Users have access to individual and team performances based on a comprehensive overview of...

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Work Distribution

Work Distribution

The rules engine can be customized to allocate quality samples to auditors, considering factors like experience, line of business, dollar amounts, and other relevant parameters. Our rules engine can also be continuously refined and updated to reflect changing quality...

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Capacity Planning

Capacity Planning

By analyzing vast amounts of historical data and current workload patterns, our tool makes recommendations for the appropriate audit percentages and rules. It then effectively aligns resource capacity with audit requirements for optimization. This not only drives...

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User Management

User Management

Through this user and access management, only authorized personnel can access sensitive quality-related data and perform relevant tasks. By assigning access rights based on roles and responsibilities, the system maintains security and confidentiality while allowing...

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