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Healthcare & Life Science

Payers (Health Plans)


Payers need to retain the low cost, high quality and optimal experience for their members by helping them navigate through health care choices, schedule appointments, manage prior authorizations and connect to provider care teams through automated business processes. Our business friendly IT solutions and services allow payers to achieve this through:-

Web Portals –For Plan Members, Providers, Labs, Employers and Brokers, providing 24×7 real time and personalized web access to facilitate engagement and decision making.

Testing (QA) Services – Includes setting up of test framework, test strategies, automation, reusability and execution of large test cases for Payer backend systems.

Healthcare Plan Administration – For effective claims administration, workflow and document management.

Care Integration Services – To improve member experience and operational efficiency.

Care Management – Data driven health risk prediction for effective care coordination and case management.

Benefit Design – Structure health insurance plans and determine how members can gain access to service and providers.

Enrolment Management – Online, manual or EDI-based enrolment of plan members.

Regulatory and Compliance Reporting – For ensuring the adherence and compliance to Federal and State health care laws and regulations.

Risk and Contract Management – For tracking, simplifying and streamlining the contract life cycle process thus minimizing risks of non-compliance, missed deadlines for audits and contracts being mismanaged.

Claims Management – For billing, filing, updating and processing of medical claims.

Member/Consumer Engagement – Through adoption of mobile apps, enhanced self-service features, easy access to real time data, reduce call volumes and more.