Business Transformation Through Digitalization And Automation
HEALTHCARE PROCESS MANAGEMENT
Optimizing Your Healthcare Business Processes
Datamatics BPM solution for healthcare automates and digitize the entire claims process, ensuring faster and more efficient handling of medical claims to deliver superior customer service experience. It uses AI/ML algorithms to identify fraud and correct claims errors reducing the risk of financial losses.
Combines intelligent document processing and RPA to expedite paper-based form scanning and processing with unmatched speed and accuracy, meeting all payer needs.
Claims Management
Streamlines claim settlement procedures by offering efficient claims registration, verification, settlement, disbursement, fraud management, and audit capabilities
Claims Pre-Adjudication
Adjudicate claims with accuracy using AI/ML algorithms, minimizing errors and eliminating false positives and negatives effortlessly.
Adjudication Service
Facilitate faster settlements and lower healthcare costs per claim. Ensure cost reductions in data processing with guaranteed yearly savings
Member and Provider Matching
Ensures accuracy in payment processing and facilitates direct payments to accounts with seamless patient matching process
Sales & Underwriting
Offers end-to-end solutions for contract management, sales automation, quote and rate underwriting, risk classification, and pricing modules
E-Portal
Enhance member-provider engagement with interactive web portals. Expedite claim processing and settlement through our efficient digital ecosystem.
Membership Management and Billing
Ensures complete automation of the data management system to facilitate new membership enrollment, renewals, eligibility checks, monitoring, and client billing.
Care Management
Presents user friendly, Omni-channel care management that helps payers provide on-demand support to patients
Provider Services
Revenue Cycle Management Services
Facilitates a seamless transition from the traditional ‘‘Fee for Service (FSS)’ payment model to a more integrated ‘Pay for Performance’ model, with automated coding and insurance verification
Payment Posting Services
Covers posting of payments received from Health insurance payers / members towards settlement of claims to relevant patient accounts.
CRM Services
Customer Information
Maintains updated records of patient information and related contact details
Facilitates updating of interactions in the patient, payer, and provider ecosystem
IVR Solutions
Offers all patient communication on a single platform; automates the hospital's precision care workflows and guides the patient with real-time data access
Enterprise
Provides services and software for quality management, regulatory compliance, and F&A management. Offers auditable and enterprise grade solutions.
Advantages
30+ Years of Experience
Expertise in delivering intelligent solutions for healthcare and insurance enterprises in global markets.
25 million
Claims Processed Annually. Delivered global automation projects with end-to-end models
100 million
Images Processed Annually; precise, compliant, visible audit trails for efficiency
Featured Content
Case Study
A Leading Healthcare Software Solution Provider in Asia Increased its Revenue by 30% with Healthcare Management Web App
Product Engineering refers to outsourcing all or some of the activities of software development, such as product design, prototyping, testing, quality control, product lifecycle management, etc. It also involves consulting with specialized product engineering service providers to gain the advantage of the expertise, cost savings, faster time-to-market and enhanced value engineering, etc.
What are some of the benefits of Product Engineering?
Product Engineering helps vendors leverage the convictions of an extended team without having to go through the pain of individual hiring. It offers you a development ecosystem driven by cross-cultural teams, compounded work ethos, and end-to-end support for services. One of the most profiting areas of product engineering is seamless scaling of infrastructure and human resources and paying for them on an on-demand basis. Besides, being heavily inspired by principles of Agile and DevOps, product engineering enables you to automate the IT operations in parallel to product development that makes frequent rollbacks and feedback implementations a breeze, significantly reducing the cost and time-to-market.
Why is it important for businesses?
Product engineering helps enterprises in the software development world stay ahead of the curve and consistently outplay the competitors with a first-mover advantage. It also helps enterprises stay relevant to the quick-witted tech-savvy millennials accustomed to instant gratification and consistent technology upgrades. With a myriad of latest technology choices, product engineering opens up a whole ocean of innovation that helps enterprises keep up their appeal and battle disruption consistently. On top of this, product engineering also helps enterprises implement aggressive testing techniques that help them in effectively dodging the cost of quality.
What is the difference between product engineering services and custom software development?
Product engineering services and custom software development have the same end goal: to create a final product that addresses a need. Product engineering services, however, come in handy when a customer-facing revenue-generating app/website needs to be developed. Product engineering also requires intensive research on user experience designs, customer needs, and market trends ahead of building the product. Custom software development is more of an umbrella term that inhabits enterprise-level software development and almost any kind of software development that serves a particular purpose. Both the approaches are implemented by determining the best course of action to design, prototype, test, and develop the product, so it reaches the end-users and does what’s intended for it.
What do the product engineering services include?
Product engineering services involve everything that typical in-house product development requires. Everything from requirement gathering to designing and prototyping is done by the services team taking complete ownership of the product including the risks that come with it. The deliverables are predefined and the project follows a lean-agile model offering a flexible architecture to support prospective customer needs, that involves consistent addition of new features, getting rid of outdated features, rolling out frequent updates and releases, and fixing existing bugs in parallel.
