As member rolls increase and regulatory compliance becomes more demanding, manually intensive and paper-based tasks become a growing source of revenue loss, member dissatisfaction, as well as reputational, operational and compliance risk. Even processes based around digital documents are only capable of keeping up with, rather than exceeding or scaling to, the rising demands of members, providers, and regulators.
Firstsource’s automated, intelligent, data-driven mailroom and document services give payers an edge in a complex industry. They help to improve operational efficiency, customer experience, regulatory compliance, and, ultimately, your bottom line.
Used by 5 of the top 10 US healthcare payers, Firstsource handles more than 5 million digital transactions per month, providing intelligent, data-driven digital mailroom services from document receipt to secure, centralized data storage to meet your needs and your members’ needs in a complex market.
To meet your unique needs, Firstsource provides full mailroom services for all input types, whether they’re hard copies shipped to us by you, mail delivered to a dedicated P.O. box, or information provided to us in a variety of digital formats.
Trained document-management professionals process input by opening and hand-batching hard copies, and electronically sorting and imaging digital data. Each document is classified according to your rules and tracked with a unique bar code to ensure accuracy and data security during processing and data storage in an intelligent, centralized repository.
Available formats include, but are not limited to, hard copy, EDI, FTP, disk, batch, email, and large formats.
Fully optimized document management requires technology that is both highly efficient and precise.
Firstsource’s high-speed scanners can process as many as 9,000 pages per hour, producing fully digitized documents without missing characters or losing legibility. Optical character recognition (OCR) and intelligent character recognition (ICR) accurately extract business-critical data for processing and indexing, with customized data capture and output tailored to suit your specific needs.
Available formats include, but are not limited to, ANSI 837, NSF, XML, and flat file.
Manually intensive tasks are an unnecessary burden on the claims process in an industry where efficiency and accuracy are essential.
Firstsource’s proprietary Sympraxis Automated Workflow solution automates those tasks for intelligent, data-driven operations. Not only does the workflow make data capture and classification more efficient, it enables automatic member eligibility determination and personalized member support with minimal, if any, manual effort.
With increased claims volumes and growing pressure to enhance quality come greater opportunities for error in manual processing.
Robotic Process Automation (RPA) reduces both time spent on repetitive processes and the chance for human error. Intelligent, rule-driven, and working from a centralized data repository, RPA helps provide the efficiency, speed, and accuracy that members, providers, and regulators demand.
From the very first document, Firstsource’s document management process is tailored to your needs. Through Machine Learning and Artificial Intelligence (AI), the process becomes even more efficient and customized over time. With each document processed, our auto-adaptive system becomes more intelligent and sensitive to your needs, able not only to manage documents efficiently, but to move claims through the system faster while meeting member needs more effectively.
Our clients include 12 of the top 20 healthcare payers nationwide
Our solutions are backed by Robotic Process Automation, advanced analytics and more
With our 20+ years' experience in the field, you'll know your customers are in good hands
Firstsource Healthcare's end to end claims processing and adjudication services help leading healthcare payers reduce turnaround time (TAT), increase processing quality and accuracy and reduce backlogs.
Firstsource Healthcare's omnichannel contact center helps deliver the experience your customers demand in this multi-channel world and enables you to take your member and provider engagement to the next level.
Our provider data management and credentialing services empowers you with the most updated and accurate provider data available, resulting in better service quality and avoidance regulatory penalties.