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Intelligence For Payers

UNIFIED DATA FOR FASTER INSIGHTS

Provides data-driven insights for optimal health plan development, value-based care, better member experience, improved payer-provider collaboration, payment transformation and operational efficiency. Helps payers and provider networks exceed members' rising expectations

Highlights

Reduce cost of care continuum with personalized population health

Personalized Risk Stratification & Analytics

Integrated Case & Care Management

Proactive Member Engagement

Customer retention with real time intelligence

Dynamic Utilization Management

Seamless Provider Network Management

Automated Claims Optimization

Better provider relations with faster and accurate claims processing

Increased revenues with early detection of Fraud, Waste & Abuse

Explore Our Modules

Case Management
Care / Case Management

Proactive & preventive care with data interoperability and alerts management. Covers Proactive & preventive care, Connected medical devices, Data interoperability, Command center integration, Alerts & notifications as per defined rules.
Member Experience
Member Experience

Proactive segmentation and outreach through digital engagement framework. Covers Member enrolment, Member segmentation, Member engagement, Member 3600, Member loyalty & referrals, Self-service mobile apps and Portals.
Claims Optimization
Claims Optimization

Claims optimization includes Provider networks, Stakeholder management, Claims administration, Process automation & optimization, Fraud, waste, and abuse management.
Risk Stratification
Risk Stratification

Proactively risk stratify patients most likely to benefit from care protocols. Process of assigning a particular risk status based on data reflecting vital health indicators, medical history, lifestyle, socio-economic and claims parameters. Offers insights to levels of care that is required by a patient/population based on risk levels

Benefits

Reduce cost of care continuum with Personalized population health

Reduce cost of care continuum with Personalized population health

faster and accurate claims processing

Better provider relations with faster and accurate claims processing

early detection of Fraud, Waste & Abuse

Increased revenues with early detection of Fraud, Waste & Abuse

real time intelligence

Better member experience and customer retention with real time intelligence

unified data & intelligence platform

Better regulatory compliance with unified data & intelligence platform

Why IntelliPayer?

asy adaptability of the platform by end-users

Ease of Use - easy adaptability of the platform by end-users

better interoperability and compliance

Built on next generation technologies & standards for better interoperability and compliance

SaaS based cloud platform

SaaS based cloud platform with easy pick and use functionality and flexible subscription models

Operations & Administrative teams

AI-driven intuitive and intelligent insights for Operations & Administrative teams

member and claims data

Customized insights to easily visualize, analyze and explore plan, member and claims data

Flexible working models based on needs

Flexible working models based on needs - Customization, Collaborative or Consulting

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