Healthcare Payers

Meet surging member lifecycle needs and build patient-centric business models while ensuring you stay ahead of the competition.

Digital Transformation a Key Driver of Growth

Payers are being compelled to rapidly change their value propositions to satiate the demands of today’s digitally forward and digital-native members.

Over 55% of payers in the US today, recognize improving member experience as their most important goal, followed by streamlining operations and improving interoperability. Through strategic digital transformation, payers can create care ecosystems that can disrupt their own ways of delivering services in order to propel growth. We help payers of all lines of business address the biggest gaps in their business, such as billing, claims processing, workforce collaboration and efficiency, payer-provider data exchange, and member engagement.

Top Benefits of Digital Transformation for Payers

Our Offerings

AI and analytics driven claims processing

AI-driven chatbots to increase enrollment

CRM and customer experience

Facets administrative system management

FHIR Compliant APIs creation

Member, provider, and claims reporting and analytics

Policy administration and pricing management

Population health management

Risk Adjustment – EDPS, RAPS, EDGE

Value-based payments implementation
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Here are our thoughts on the latest in technology, and some compelling stories of our shared success.

Case Study
API-led Connectivity Approach for an Online Medical Device Retailer

Built a CMS-based e-commerce platform with all Cloud, ERP, CRM, and supply chain ecosystem...

  • 2.5x Faster Project Delivery
  • 12+ Dependency Systems Integrated
  • 10% time spent on API Innovation
  • 42% efficiency gains
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Case Study
Virtual Consultation Mobile Application for Providers

The mobile app was designed utilizing the latest UX frameworks to ensure ease of use. The ...

  • 100K+ unique user interactions can be handled
  • >70% accuracy by AI-based provider matching
  • $47K reduction in cloud infrastructure costs per year
  • 29% reduction in appointment drop rates through automated checks
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Conversational AI in Customer Service: Why Your Business Needs It?

In a world where customers are increasingly expecting near-instant gratification, the trick to keeping the customer happy is to be always available to them and being highly responsive to their online interactions. They help businesses significantly reduce costs and priceless minutes off each interaction.

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Here’s how sentiment analysis can help you drive ROI.

With the recent advancements in deep learning, many algorithms have been developed that can analyze customer conversations effectively. Sentiment analysis is one such text classification tool that tells whether the sentiment behind a text is positive, negative, or neutral. Leveraging this tool, businesses can comprehend the key aspects of their products and services that customers actually care about.

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Let’s create something incredible together!