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Claims Management for Healthcare Payers

The EMC Claims Management for Healthcare Payers solution streamlines claims processing, speeds access to customer information, and ensures the security of private medical information. Reduce the labor costs associated with processing covered lives claims, utilize a single platform for all incoming data sources, automatically route claims for review and approval, and increase the accuracy and timeliness of payments. Shrink your paper storage and document retrieval costs while complying with regulatory standards including HIPAA.



Key Benefits

  • Automation — Automate manual tasks and deploy a single input management platform to manage all incoming information systems.

  • Forms processing — Streamline and accelerate the processing of explanation of benefit (EOB) forms, reduce errors, and minimize manual intervention.

  • Streamlined business processes — Provide seamless integration between data from transactional systems and a full view of all supporting documentation such as e-mails, images, records, and correspondence.

  • Access to customer information — Quickly retrieve accurate, up-to-date customer information and respond quickly to customer inquiries.

  • Compliance — Ensure that processes are controlled, and resulting documentation is retained and archived in compliance with government and company policies.

  • Integration — Integrate seamlessly with all enterprise applications for increased operational performance and accelerated ROI.

EMC will help you build your solution with the following products, services, and partners:
  • Process Engine - EMC Documentum Process Engine enables the orchestration, execution, and management of business processes in a production environment.
  • Process Integrator - EMC Documentum Process Integrator (formerly Business Process Services) enables the integration of EMC Documentum process, content, and repository services with external systems and applications through a service-oriented architecture (SOA) implementation.
Take the Next Step

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