The PLM platform has market leading Robotic capabilities, where significant processes, specifically around Credentialing, are automated and the processes are completed without any human intervention. Removing the manual steps from Primary Source Verification can save >80% in ‘resources time’ for payers. The Solution supports the ability to use Robotics from Data Intake, to Credentialing, to loading demographic and pricing data into systems.
Smart Business Rules and Intelligent Case Routing with Pega
PLM leverages Pegasystems’ core Pega PRPC and Healthcare Industry Foundation Product capabilities to address the many challenges Payers face in Prospecting, Contracting, Credentialing and Pricing Configuration for Providers. The solution is built applying deep industry knowledge to deliver a product that is ready to streamline operations across the provider lifecycle ensuring increased Payer satisfaction, improved efficiency and reduced onboarding time.
Productivity and Collaboration with Salesforce
At the heart of PLM’s market-leading capabilities lie Salesforce’s declarative components, Lightning for Service Console, mass upload and Out-of-Box features. These empower customer services representatives to give Providers accurate updates on their overall on-boarding progress and status.