Reduces the overall per-claim processing cost and improves operational efficiency. It also lays the foundation for processing potential point-of-care, real-time submissions in the future.
Increases engagement and provides claims operations users and policy managers with a sense of ownership of the adjudication system that results in active contributions to continuous improvement.
Optimizes network contracts by enabling appropriate reimbursements and improving implementation plans for upcoming regulations. Also, it helps teams avoid repetitive, low-value tasks and focus on higher-value work effort.