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
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.](/content/member-experience.aspx)
Claims Optimization Claims optimization includes Provider networks, Stakeholder management, Claims administration, Process automation & optimization, Fraud, waste, and abuse management.](/content/claims-optimization.aspx)
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](/content/risk-stratification.aspx)
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.](/content/case-care-management.aspx)
Benefits
Reduce cost of care continuum with Personalized population health
Better provider relations with faster and accurate claims processing
Increased revenues with early detection of Fraud, Waste & Abuse
Better member experience and customer retention with real-time intelligence
Better regulatory compliance with unified data & intelligence platform
Why IntelliPayer?
Ease of Use - easy adaptability of the platform by end-users.
Built on next generation technologies & standards for better interoperability and compliance.
SaaS based cloud platform with easy pick and use functionality and flexible subscription models.
AI-driven intuitive and intelligent insights for Operations & Administrative teams.
Customized insights to easily visualize, analyze and explore plan, member and claims data.
Flexible working models based on needs - Customization, Collaborative or Consulting.