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.
iNube implemented a system with flexibility for both TPA and Insurance company to process claims.
26%
Increase in auto adjudicated cases
32%
TAT reduction in Claims Processing
1500
Claims processed per month (Per day 50 claims)
17000+
In network hospitals are currently empanelled in the system
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