Intelligent automation for health plans – the perfect antidote for post pandemic challenges. Read this whitepaper to realize the true potential of Intelligent Automation and unlocking its value in key areas of the Health Plan value chain.
Firstsource’s premium billing and reconciliation services streamline revenue collection and prevent loss due to error and ineﬃciency.
Firstsource’s Utilization Management services help Health Plans reduce costs while managing growing document and case volumes with greater accuracy and eﬃciency.
Telehealth offers a convenient, integrated and easily accessible experience for patients and clinicians, while improving population health outcomes at a lower cost.
Firstsource provides intelligent, data-driven mailroom and document services leveraging intelligent workflow automation that help Health Plans. Intelligent and rule-driven, robotic process automation (RPA) helps provide the efficiency, speed and accuracy that you require and regulators demand with immediate and ongoing cost benefits.
Health Plans are seeking ways to keep expenses under control and provide accurate reimbursements to providers. Yet hundreds of millions of dollars are lost due to inaccuracies, errors, incorrect billing, overpaid medical claims, missed discounts and other issues.
SympliSend is an easy to use, one-stop application that allows electronic submission of documents and correspondence to support the appeals and grievance process.
With a complete view of member and provider journeys across all customer interaction channels combined with quality monitoring, our proprietary platform, FirstCustomerIntelligence, empowers payers to focus on reducing risk, ensuring compliance, increasing revenue, building customer loyalty, and enhancing operational eﬃciency
Firstsource’s business process automation services are designed to help Health Plans meet the challenge by identifying the root cause and eﬀect of operational ineﬃciencies, then recommending and implementing automated solutions that make your process more streamlined and scalable while maintaining optimal performance.
The risks of maintaining inaccurate provider data can be long-lasting and expensive. Firstsource’s Provider Data Management services save you from the pain and penalties associated with inaccurate or out-of-date provider data.
Firstsource helps you meet the demands of all your important stakeholders with Quality Assurance services focusing on optimizing the efficiency and accuracy of your critical processes, platforms and resources across claims adjudication, provider data management, customer service, and member enrollment and billing.
Firstsource’s Omnichannel Contact Center offers support via email, voice call, SMS/text, web chat, and social media, making help available to your members and providers through their channel of choice.
Over the past several years, Health Plans have been subject to numerous procedural and regulatory changes—and it’s expected to get even more complicated in the future. Firstsource’s solutions, expert agents, and leading-edge technology can simplify your processes and delight your customers
Firstsource helps Health Plans increase membership and satisfaction, minimize administrative costs, and stay compliant by ensuring all documents are processed efficiently and accurately.
Claims processing is one of the highest administrative costs amongst Health Plans in the US —especially as demand rises for faster, error-free processing and payments, and a better overall customer experience. Firstsource’s Claims Processing and Adjudication solutions streamline payers’ claims operations by addressing inefficiencies across claims intake, processing, adjudication and payment.
Firstsource’s After-Hours Contact Center extends your support capabilities, allowing you to offer uninterrupted, high-quality customer care, whenever issues arise—even nights and weekends.
The Health Plans environment is fast paced and more demanding than ever before, and many of the business processes and operational practices that worked before can’t keep up. No one understands that better than Firstsource, a company with more than 20 years of experience providing business-process-as-a-service (BPaaS) support to US Health Plans.