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Reinventing Business Models With Digital Technologies

Reinventing Business Models With Digital Technologies

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     Analyst Report

The First Ever Gartner Magic Quadrant for Robotic Process Automation 2019

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Everest Group PEAK Matrix For Robotic Process Automation (RPA) Technology Vendors
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Everest Group PEAK Matrix For Robotic Process Automation (RPA) Technology Vendors

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HEALTHCARE PROCESS MANAGEMENT

Business Transformation Through Digitalization And Automation

TRANSFORMATION THROUGH DIGITIZATION & AUTOMATION

Improving health claims processes has a significant impact on the business of insurers. Efficient claims management helps insurers improve customer experience, reduce processing costs & time, adjudication errors, and increase regulatory compliance.

Datamatics helps insurers and payers transform their claims management processes. Its insurance clients have reaped significant benefits in terms of cost, speed, and accuracy by using TruBot, an enterprise grade multi-skilled bot. Datamatics uses advanced imaging technologies and rule-based algorithms to mine context and intelligence from unstructured data. This helps insurers minimize adjudication errors, reduce claims processing costs, increase efficiency, and deliver a superior customer service experience.

ADVANTAGES

30+

Years of Experience

25 Million

Claims Processed Annually

100 Million

Images Processed Annually


HEALTHCARE PROCESS MANAGEMENT OFFERINGS

PAYER SERVICES

Mailroom & Scanning

Mailroom & Scanning

Provides exceptional processing speed and accuracy catering to all payer requirements

Claims Management

Claims Management

Offers claims registration, claims verification, claims settlement & disbursement, fraudulent claims management and audit

Claims Pre-Adjudication

Claims Pre-Adjudication

Adjudicate claims forms with minimal errors.

Adjudication Services

Adjudication Services

Facilitates faster settlements and lowers healthcare costs per claim

Payment Processing

Member and Provider Matching

Ensures accuracy in payments processing

Sales & Underwriting

Sales & Underwriting

Offers effective contract management, sales automation, quote and rate underwriting, risk classification, and pricing solutions

E-Portal

E-Portal

Offers interactive web portals to enhance member-provider engagement and interaction

Membership Management And Billing

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

Care Management

Presents user friendly, Omni-channel care management that helps payers provide on-demand support to patients

PROVIDER SERVICES

Revenue Cycle Management 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

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

Customer information

Maintains updated records of patient information and related contact details

IVR Solutions

IVR Solutions

Offers all patient communication on a single platform; automates the hospital's precision care workflows and guides the patient through real-time data access.

Enterprise

Enterprise

Provides services and software for quality management, regulatory compliance, and F&A management

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Successful Extended Development Center Operations For An International Healthcare Group

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TruBot Enhances Eligibility Verification For A Leading Healthcare Giant

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Optimizing EOB Processing For A Fortune 500 Healthcare Giant

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Optimizing EOB Processing For A Fortune 500 Healthcare Giant

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