Claims Management for Healthcare Payers solutions generally aimed at achieving complete automation of claims processing, faster access to customer information without compromising on the security of private medical information.
Automation helps in reducing costs associated with processing of claims, utilize a single platform for all data sources, workflows for routing claims for review and approval processes and increase the consistency and timeliness of payments. According to National Health Insurer Report Card, AMA, 2011, eliminating claims errors would save $17 billion annually. Automation would reduce the paper storage and document retrieval costs while complying with regulatory standards like HIPAA.
Health insurance payers invest in their claims systems with the focus on interoperability and faster release of new products than just improving efficiency of claims processing.
Systems should be flexible to create new benefit designs with ease, provide integrated health management and should have inherent flexibility and agility to adjust to the changing marketing conditions.
Nous has capabilities and domain expertize to convert existing systems with majorly manual intervention into an automation solution. These solutions would meet the best industry practices and thus allows interactions and integration with multiple external systems standardized and less cumbersome. With expertice in Data Analytics and appropriate use in modern systems, benefits can be multiplied.
Nous developed a custom ETL tool to a health informatics company, providing Business Intelligence dashboard and reporting solution that enables access to real-time actionable information on spends and performance.
Nous Infosystems is a CMMi Level 5 SVC + SSD v1.3, ISO 9001:2008, and ISO/IEC 27001:2013 certified global Information Technology firm providing software solutions across a broad spectrum of industries. Major offerings include Digital Transformation, Application Development & Maintenance, Enterprise Application Integration, Product Engineering, Business Intelligence, Independent Testing and Infrastructure Management Services.