Health Plans

Client Goal - increase claims approval and revenue

TBD

Business Challenge

• Labor intensive payer verification process

• Inefficient payer authorization process

• Time-consuming referral queue management

• Labor-intensive productivity reporting

• Process Optimization

• Optimized payer verification

• Optimized payer prior authorization

• Integrated with Managed Care & Billing

• Automated referral queue management

• Automated performance tracking

• Client Impact

• 75% decrease in authorizations cycle time

• $2.5 million staff efficiency savings

• Efficient referral queue management

• Timely reliable productivity reporting