Advanced AI for Healthcare Payer Business Optimization.
We provide a comprehensive suite of digital led solutions across the Healthcare Payer value chain. Some of our key service offerings that deliver superior member and patient experience include:
- Member management and enrollment
- Onboarding, Data management, Billing and collections, Communication (plan info, benefit explanations, renewal notices)
- Claims processing and reimbursement
- Claims adjudication, Coding and medical record review, Claims payment, Denials management
- Network Management
- Provider contracting, network credentialing, network performance monitoring, utilization management (pre-authorization)
Success stories.
Case Studies | Payers.
Growth Partner for a Fortune 50 Managed Care Organization.Case Studies | Payers.
AI-driven Compliance Automation for a Large Health Care 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 | Payers.
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 | Payers.
AI-driven Compliance Automation for a Large Health Care Organization.
Our credentials.
3.6M
Calls handled
2M
Claims processed
400K
Complex claims managed
22M
Documents processed
Our partners.
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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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