Features and benefits
Virtusa’s product engineering and innovation expertise ensures your organization gets the best out of Pega SCE
- Cognitive Computing and Machine Learning: Payers can offer personalized solutions for everyday consumers.
- Blockchain: Helps in reducing red tape, increasing interoperability, and improving consumer relationships within the healthcare payer community.
- Analytics: Improve patient satisfaction and patient flow, reduce avoidable readmissions, and adverse events.
- Microservices: Create new ways to connect and engage with patients.
- Everything-as-a-service: Combination of data science, mobile applications and big data to manage chronic diseases, reduce cost, and increase reach of healthcare.
With Pega SCE, your organization benefits from enhanced straight through processing, transparency and visibility, and business flexibility.
Straight through processing (STP)
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.
Transparency and visibility
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.
Business flexibility
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.
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