Automated Health Claims Management to Reduce Claims Leakage for a Leading Health Insurer
The customer had legacy IT infrastructure with multiple system integrations. Lack of validations during claims processing led to claims leakage. Manual processing of claims consumed more time. The customer was heavily dependent on TPAs for claims processing. Customer was seeking a system which could give them more control over the TPA and enable transparency. The customer wanted to bring in-house part of the claims processing.
The Solution – Automated Claims Processing to Reduce Claims Leakage
iNube implemented a system with flexibility for both TPA and Insurance company to process claims.