Provider Network
AI-Driven 360-degree platform that connects Patients, Providers, and Payers (Insurance)
A Provider Network Management Application for Healthcare Insurance is a solution that helps healthcare payers and their health systems connect with patient and providers to maintain and organize data from the provider for the purpose of building and managing a Provider network Analytics, AI decisioning/Insights and Auto Filing/Intimation of claims. It’s a 360-degree platform which has 15000+ network hospitals/clinics/OPD/diagnostic labs under one roof connecting them with payers and patients for ease of real time auto claim intimation/processing updates and settling finances related to claims. It also supports provider empanelment along with Tariff Digitization and negotiations, through its AI driven insights and decisioning.
Learn MoreKey Features ofProvider Network
The advantages of using a preferred provider network solution are to make process easier helping quicker access to quality medical provider-based care through a strong focus on medical/disability and pay loss management, and a shared commitment to help control the overall financial costing involved pertaining to claims and other related areas.Following are some key Benefits that the solution offers are :
Unified Platform for managing all claims
Real-time claims registration/intimation from hospital/ clinic
Connecting platform for insurance/payers with hospital and patient
Process and settle claims faster and minimize productivity Loss
Pre-mapped and tested processes for health plans/payers
Managed care organizations
15000+ network of hospitals/ clinic/OPD/Diagnostic Labs
Provides single dashboard for hospital and clinic
Provider Empanelment
Auto Tariff Management/Digitization and Negotiations
Hospital Network
Access to Patients
Integrated Physician Networks
Integrated Diagnostic laboratory Network
Integrated OPD network and Access to OPD
Health/Medical Data structuring and Analytics
Third-Party Administrators (TPAs) integrations and analytics
Health claims financing
