Digital-First Healthcare Solutions for Improved Efficiency & Enhanced Patient Experience.
Our Healthcare & Life Sciences BPS solutions drive Business Process Excellence through an AI-led approach, deep domain expertise and technology point solutions to enhance member and provider experience, improve business effectiveness and increase operational efficiency.
Our healthcare solutions are designed to address the specific needs of the Healthcare ecosystem. Some of our key offerings include:
- Member and Provider Management: Solutions to enhance member enrollment, eligibility verification, provider credentialing, and network management.
- Claims Processing and Management: Efficient and accurate claims processing, including handling utilization management and appeals & grievances, that reduce turnaround time, improve accuracy and optimize cost.
- Data Analytics and Reporting: Advanced analytics tools to drive data-driven decision-making, improve experience, and maximize business outcomes.
- Compliance and Regulatory Support: Ensuring our clients meet all necessary regulatory requirements, including HIPAA, HITECH, and other state-specific mandates.
- Digital Care: Support members, patients, providers and other stakeholders across multiple digital channels for sales, service and maintenance requests.
Offerings.
Success stories.
Case Studies | BPS-Healthcare & Lifesciences.
Growth Partner for a Fortune 50 Managed Care Organization.
Case Studies | BPS-Healthcare & Lifesciences.
AI-driven Compliance Automation for a Large Healthcare Organization.
![CS Item 1-Jul-22-2024-09-29-03-8005-AM](https://www.coforge.com/hs-fs/hubfs/CS%20Item%201-Jul-22-2024-09-29-03-8005-AM.jpeg?width=600&height=800&name=CS%20Item%201-Jul-22-2024-09-29-03-8005-AM.jpeg)
Case Studies | BPS-Healthcare & Lifesciences.
Growth Partner for a Fortune 50 Managed Care Organization.
![CS Item 2](https://www.coforge.com/hs-fs/hubfs/CS%20Item%202.jpg?width=600&height=800&name=CS%20Item%202.jpg)
Case Studies | BPS-Healthcare & Lifesciences.
AI-driven Compliance Automation for a Large Healthcare Organization.
Our credentials.
3.6M
Calls handled
2M
Claims processed
400K
Complex claims managed
22M
Documents processed
Our clients.
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Connect with our experts.
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Jeremy Link
WHAT WE DO.
Explore our wide gamut of digital transformation capabilities and our work across industries.
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