Workflow Plus®

OVERVIEW

Real-time performance impact

Health plans face challenges with manual processes, complex workflows, and data gaps, hindering business goals and increasing costs. Efficient enrollment and claims management are crucial for cost and compliance. Workflow+® automates work/task allocation, management, process optimization, productivity tracking, SLA management, and supports auditing and performance management. Our team, experienced in health plans, provides business management consultancy and advisory services to help optimize operations and drive success.

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

Stars Playbook

Real time performance optimization​

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

Boost productivity

  • Team productivity dashboards​
  • Quality audit reports​
  • KPI dashboards​ 
  • Team workload and utilization
  • Improved collaboration
managing--contractual--flow_1

Automated processes based on data

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

BENEFITS

Efficiency realized

Clipboard-line-chart

Improves productivity and efficiency of operations

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

managed-hosting--02

Provides transparency

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

Billing Technology

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
mid-page-banner-one.png

SOLUTION GROUPS

Featured Core Administration solutions

icon

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
s2

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
integration-plus.svg

Integration Plus™

End-to-end software as a service solution that allows you to integrate, scale and adapt with reduced implementation and development costs
EDPS submissions management.svg

Insitz Plus

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