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Intelligent Automation
Harness the power of Big Data, ML and AI. Reduce points of friction with your customers and within your enterprise.
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- Converting unstructured data such as notes, films, photos, etc. to data that can be integrated with patient data
- Aggregating data from wearables into mainstream patient data
- Improving administrative side of being a provider such as optimizing supply chain and procurement costs, automated
- patient scheduling and notification, interfacing with legacy technology, etc.
- Automated and private patient intake
- Eliminate bias and disparity in patient care
- Automate common tasks such as eligibility verification, claim status follow-up, test scheduling, and payment authorization by collating data from disparate systems
- Process unstructured data such as faxes and handwritten authorization notes to ensure seamless flow of data across providers and payers
- Optimize revenue cycles for providers and payers with reduced declines
- Medical and Pharmacy Claims Processing
80% of existing healthcare data remains unstructured, rendering it mostly useless across the healthcare continuum. Intelligent Automation leverages AI to transform data, introducing it into the business operations for valuable insight.
Much like prior authorizations this is an intersection point between payers and providers.
While the processes are different between payers and providers, intelligent automation will speed up the end-to-end process, improve productivity, yield higher quality, and ensure compliance to regulations.
Prior Authorizations
Optimal decision making for authorization requests requires speed and accuracy, but reliance on paper-based processes works against both. For the customer awaiting a specialist or medical procedure, a delay in authorization can be a major source of frustration.
Excellarate’s Prior Authorization solution enables a streamlined authorization processing that eliminates the paper and drives smarter decision-making, better customer service, and higher productivity.
Appeals and Grievances
When complex, knowledge-based operations rely on manual, paper-based processes, the results are low productivity and a diminishing bottom line. Excellarate’s solutions for Appeals and Grievances solutions help to transform operations.
Faster, Smarter Investigations
Case information is captured, cataloged, and stored in a central location, then automatically prioritized and distributed
Increased Bottom Line
Automated processes reduce incidence of error, maximize resources, and speed up case resolution, reducing administrative costs and maximizing revenue potential
Simplified Compliance
Confidently comply with contractual obligations as well as state, federal, NCQA, and group regulations using case tracking, reporting, and comprehensive audit trails
Higher Customer Satisfaction and Retention
Automated processes and robust digital cataloging system enable faster case resolution and promote rapid member access to care and claim payments
Increased Employee Productivity
All relevant case information is easily stored and accessed in a single location, which eliminates time lost searching for documents and simplifies decision-making
Greater Agility
Automated functionality locates and returns information quickly, enabling faster response times to information requests from customers, legal discovery, and regulatory requests
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