Next gen analytics for integrated case and care management

IntelliPayer implements data-driven innovations for better plan design, proactive care management, responsive payer member reporting, transparent provider performance measurement, and CMS pay-for-performance initiatives. It enables healthcare payers to reduce medical costs, increase payer member satisfaction and engagement.

The IntelliPayer solution supports health plans in today's transitioning healthcare environment by implementing data-driven innovations for better plan design, proactive care management, responsive member reporting, transparent provider performance measurement, and pay-for-performance initiatives. It enables healthcare payers to reduce medical costs, increase member satisfaction and engagement, develop sustainable providers, improve quality of care, and prevent healthcare fraud.

BENEFITS
Increase the efficiency

Increase the efficiency of claims processing, while improving the quality of personnel within the organization

Provide accurate claims paymentsn

Provide accurate claims payments for minimizing customer friction

Ensure that all your cost-medical

Ensure that all your cost-medical and administrative remains low so patients spend less

Enable early detection of fraud

Enable early detection of fraud, waste and abuse incidents

Payer companies can attract

Payer companies can attract and retain members in order to enhance business agility

Explore our Modules

The platform includes machine learning enhanced healthcare and insurance fraud detection software and an integrated care management program designed to enhance the health insurance member journey.

Claim and Fraud Management

Our Claim and fraud management module is an invaluable asset to the claims management process both for insurers and members. As we move into the future, it only makes sense to take advantage of this technology in every way possible

Member Experience

Deliver timely and profitable member insights. Using our solution, healthcare payers can deliver an enhanced member experience across the entire journey by improving the experience for a new and existing members, helping members manage their health, resolving complaints timely and adapting to members' evolving needs.

Integrated Case and Care Management

Remove biases, eliminate human error, and work purely with hard data and algorithmic analysis, to help healthcare payer companies into a more accurate, more positive outcomes for all.