OVERVIEW

Real-time performance impact

Health plans face significant challenges with manual processes, complex workflows, and data gaps that hinder their ability to achieve business goals and create unnecessary expenses. Managing enrollment and claims inventory is critical for efficiently running health plan operations from a cost and compliance standpoint. Our Workflow Plus™ platform automates work allocation, manages individual productivity and SLA management, and supports auditing and performance management

CAPABILITIES

Accelerate efficiency for plan operations

Workflow Plus™ optimizes workflows, identifying bottlenecks and streamlining processes across platforms to manage workloads ​​for your teams. From service level agreements to data access to reporting, Workflow Plus™ integrates with key areas to deliver actionable data, create workflows and more

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Real time performance optimization​

  • Seamless integration with core admin platforms 
  • Reduce overhead costs 
  • Broad business operations support
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Boost productivity

  • Team productivity dashboards​
  • Quality audit reports​
  • KPI dashboards​ 
  • Team workload and utilization
  • Improved collaboration
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Automated processes based on data

  • SLA performance monitoring​
  • Improve transparency in reporting, performance metrics and more
  • Automated work assignments 

BENEFITS

Efficiency realized

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Improves productivity and efficiency of operations

Workload and utilization monitoring and balancing​ automates assignment and workload management

Managed hosting

Provides transparency

Seamless integration with key operating platforms​ to share data across the organization

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Automated SLA compliance monitoring

Monitor service level agreements in real-time to ensure timely response and adherence to quality standards

Proven strategies and processes to automate key processes for better outcomes and lower costs

1500+

Operations agents

50+

Prebuilt workflows

100+

Standard operating procedures

25+

Metrics and audit reports

Let’s unburden your health plan today

Reach out to discover how our innovative solutions can help unburden your plan and streamline operations. Together, we’ll elevate your business to new heights

CONTACT US
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SOLUTION GROUPS

Featured Core Administration solutions

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Enrollment Plus™

Automate eligibility verification, export and in-load files and rosters and easily export enrolled members into their core claims system, and generate correspondence—all while maintaining compliance, decreasing costs, and improving member retention
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Engagement Plus™

Purpose-built digital service center that delivers optimal customer experience by integrating payer Core Administration platform with best-in-class consumer engagement point solutions for a comprehensive service platform
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Integration Plus™

End-to-end software as a service solution that allows you to integrate, scale and adapt with reduced implementation and development costs
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Insitz Plus

Leading-edge business intelligence and reporting solution designed specifically for health plan operations and performance