The client is a leading global provider of technology-enabled risk, benefits and integrated business solutions, located across 65 countries.
The client required a powerful analytical tool to unleash valuable insights from the embedded data in the Medical Bill review process. These insights would enable the end customers of the client to elevate their managed care and bill review process to a strategic and data-focused initiative that can drive ongoing program improvements in the organization. The tool needed to have flexible reporting capabilities, along with access to near real-time data.
JK Tech as a solution partner analyzed the end-to-end process and designed a comprehensive bill-centric workflow by bringing the billing and claims data onto one platform. This enabled business users to analyze the key metrics of the bill review process and take the necessary actions to expedite the bill review process effectively. Key highlights of the solution are:
Fig 1: Solution Footprint – Comprehensive Care Analytics
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