Improve member experience while reducing costs.
Identify and remediate root causes behind delays in the claims process to ensure that member claims are processed and paid in a timely manner.
Reduce cost of claims and other processes by identifying manual or unnecessary process steps and deploying automation to fix.
Improve customer experience and boost member enrollment and retention by streamlining member enrollment and claims processes.
Enrollment is the member’s first experience with a new plan, shaping their experience with the payor.
Optimize the member enrollment process to ensure a positive experience for new members and reduce the risk of falling out of regulatory compliance.
Claims are the lifeblood of a healthcare payor.
Drive continuous improvement in claims efficiency and effectiveness and see a cascading impact across operating costs, member experience, and regulatory risk.
Member support requests are key person-to-person touch points for a payor. But too often, these become frustrating experiences for members and your service teams.
Ensure positive and effective experiences where members receive the exact help they need in a timely manner.
Correctly managing in-house pharmacies is critical to member care. Avoiding missed commitments, while also avoiding heavy manual intervention is a core challenge for all pharmacies.
Track both the fulfillment and inventory processes to identify risks and bottlenecks within pharmacy management. Build a streamlined organization and best-in-class experience for your customers.
Rising supplier costs, global shortages, and the drive for sustainability add new challenges to your procurement operations.
Achieve peak performance and resilience in source-to-pay — from lead time accuracy to selecting vendors based on their sustainability ratings — to work with the right suppliers in exactly the right way.
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