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Reinventing Business Models With Digital Technologies

Reinventing Business Models With Digital Technologies

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How To Undertake Digital Transformation For Mid-Sized Enterprises
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How To Undertake Digital Transformation For Mid-Sized Enterprises

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TruBot Improves Transaction Processing Time For A Logistics Giant
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PBoR - PROVIDER BOOK OF RECORD

Taking provider management to the next level

AUTOMATE YOUR PROVIDER CONTRACTS

Datamatics’ Provider Book of Record (PBoR) is an integrated robust and scalable cloud-based framework which automates, streamlines, and digitizes the complete provider onboarding, credentialing, and contract management process.

Using the secure API framework, PBoR provides real-time connect with multiple systems, namely Policy Administration, Pre-Auth & Claims Management, Rules Engine, Provider Portal and Finance systems.

PBoR BENEFITS

0%

leakage of claim over payments
resulting from incorrect procedure pricing

90%+

reduction on contract and rate validation time

30 - 40%

reduction in claim processing
time cycle

100%

audit trail of claims

50%+

reduction in credentialing time

PBoR ADVANTAGES

High Efficiency

Easy administration, automated lead generation, robust compliance management, quick customization, and real-time procedure price validation

Process Optimization

Uniformity of procedure rates, volume driven price negotiations, easy reconciliation and reduction in credentialing time

High Accessibility

Digital platform, easy search & retrieval, role-based access security, and secure integration with external systems

Easy Tracking & Reporting

Multi-level dashboards using Dynamics CRM and business analytics using Power BI and TruBI

Seamless Delivery & Rollout

Multi-lingual, multi-geography, and template-driven deployment

PBoR CAPABILITIES

Provider Management

  • Lead management and provider onboarding, including provider credentialing
  • Management of multi-tier provider networks
  • Complete communication with provider through emails, follow-up, etc.
  • Multi-demography data for large provider networks
  • Multiple contact information per provider

Contract Management

  • Contract information of each provider
  • Flexibility to design contract terms and procedure groups
  • Procedure pricing information against procedure codes
  • Supports ICD 10, CCSD and any other custom procedure codes

Claims Verification Management

  • Real-time procedure price validation
  • Maintain all claims information and history

Payment Management

  • Provider invoice information
  • Approve provider payments to Claims / Finance
  • Record Payment history
  • Reconciliations

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