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.
Increase the efficiency of claims processing, while improving the quality of personnel within the organization
Provide accurate claims payments for minimizing customer friction
Ensure that all your cost-medical and administrative remains low so patients spend less
Enable early detection of fraud, waste and abuse incidents
Payer companies can attract and retain members in order to enhance business agility
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.
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 possibleRead More
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.Read More
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.