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Reinventing Business Models With Digital Technologies

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How To Undertake Digital Transformation For Mid-Sized Enterprises

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TruBot Improves Transaction Processing Time For A Logistics Giant

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Healthcare Process Management

Transform To Perform

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Transform to perform

Healthcare process management is at the cross-roads of technology transformation with legacy and modern systems co-existing simultaneously. The resulting swivel chair operations impede fast processing of claims and fulfilment of statutory requirements. Intelligent Automation solutions help to bridge the gap and have a significant impact on business by improving quality, speed, and productivity of operations.

Datamatics helps insurers and payers transform their claim management process by leveraging their Robotic Process Automation product, TruBot. The product seamlessly integrates with Optical Character Recognition (OCR) and Artificial Intelligence (AI) to mine context and information from both unstructured and structured data and expedite processes.

Datamatics’ healthcare process management solutions help insurers minimize adjudication errors, reduce processing costs, improve efficiency, eliminate fraud, and deliver a superior customer service experience even amidst constantly changing regulatory environment.

Datamatics Capabilities

30 years

of experience in servicing marquee insurance companies

25 Million

claims processed annually

100 Million

images processed annually

8 Times

Recipient of client quality awards

Download the Healthcare Process Management Brochure Now

Datamatics Advantage

annual-report

Proprietary Products

for RPA, BI, workflows, testing, AI/ML

annual-report

Statutory Compliance

SSAE 18(SOC I&II) | HIPAA | HITRUST

annual-report

Operational Efficiency

40% increase in operational efficiency

annual-report

Workforce Efficiency

30%  improvement in workforce efficiency

annual-report

Data Accessibility

50%  improvement in data accessibility

annual-report

Identify Fraudulent Cases

20% Improvement in identifying fraudulent cases

Datamatics Offerings

Mail room and data conversion

Extract meaningful data from unstructured documents with 99.5% character level accuracy followed by intelligent classification for faster search and retrieval

  • Mail Room
  • Scanning
  • Capture
  • Indexing and Categorization
  • Conversion

Account maintenance

Expedite processing of claims and service requests, accelerate the verification and validations at each stage, and improve accuracy through automation

  • Enrollment Processing
  • Member Records Maintenance
  • Eligibility Verification Audit

Claims administration

Accelerate the pace of administrative activities across the claim administration life-cycle to improve efficiency, productivity and accuracy.

  • Claim data capture
  • Pre-adjudication
  • EDI /ANSI X12 837 and 835
  • Co-ordination of benefits

Member / Provider Services

Improve transparency and efficiency of processes by marked movement away from manual reporting to visual dashboard

  • Segmental Reporting
  • Planning, Budgeting & Forecasting
  • Financial Statements

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