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HEALTHCARE PROCESS MANAGEMENT

Business Transformation Through Digitalization And Automation

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.

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Payer Services

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Mailroom & Scanning

Combines intelligent document processing and RPA to expedite paper-based form scanning and processing with unmatched speed and accuracy, meeting all payer needs.

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Claims Management

Streamlines claim settlement procedures by offering efficient claims registration, verification, settlement, disbursement, fraud management, and audit capabilities

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Claims Pre-Adjudication

Adjudicate claims with accuracy using AI/ML algorithms, minimizing errors and eliminating false positives and negatives effortlessly.

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Adjudication Service

Facilitate faster settlements and lower healthcare costs per claim. Ensure cost reductions in data processing with guaranteed yearly savings

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Member and Provider Matching

Ensures accuracy in payment processing and facilitates direct payments to accounts with seamless patient matching process

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Sales & Underwriting

Offers end-to-end solutions for contract management, sales automation, quote and rate underwriting, risk classification, and pricing modules

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E-Portal

Enhance member-provider engagement with interactive web portals. Expedite claim processing and settlement through our efficient digital ecosystem.

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Membership Management and Billing

Ensures complete automation of the data management system to facilitate new membership enrollment, renewals, eligibility checks, monitoring, and client billing.

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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

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Customer Information

Maintains updated records of patient information and related contact details

Facilitates updating of interactions in the patient, payer, and provider ecosystem

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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

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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

Thumbnail-A-Leading-Healthcare-Software-solution-provider-in-Asia-Increased-their-Revenue-by-30%-with-Healthcare-Management-Web-App

A Leading Healthcare Software Solution Provider in Asia Increased its Revenue by 30% with Healthcare Management Web App

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Whitepaper

The Drivers for Intelligent Automation

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Webinar

Finance Transformation: Harnessing the Right Technologies to Ensure Finance Drives Value Across the Organization.

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Demos

Datamatics CareEase

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Blog

TRUBOT-ENHANCES-ELIGIBILITY-VERIFICATION-FOR-A-LEADING-HEALTHCARE-GIANT-thumbnail

TruBot Enhances Eligibility Verification For A Leading Healthcare Giant

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Frequently Asked Questions

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