Healthcare

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Healthcare/Healthcare Insurance

Claims, Enrollment and Customer Service
Healthcare Insurance organization’s most mission-critical processes, enrollment, claims, underwriting, and customer service are automated with SmartDesk.

Leveraging SharePoint as the content repository for the documents and EDI streams that support these processes, users can span LANs and WANs to instantly access and process work. Work can be assigned in "push" mode and prioritized based on SLA agreements, region, amount, type, etc.

And since all actions are recorded and controlled, meeting Government compliance requirements (HIPAA and Sarbanes-Oxley) can be realized more easily.

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	Pended Claims/Enrollments, whether paper or EDI are distributed to users based on based on SLA, workload, skill level, work type, region, etc.
	Missing documents such as an APS are displayed and notifications are automatically sent.
	SmartDesk automatically coalesces and presents all mainframe/Line-of-business system data to the user, eliminating screen navigation, multiple sessions and redundant data entry.
	Work can be either process-controlled or adhoc routed to Ancillary departments for further processing and or review.
	Managers have a consolidated view of all work-in-process and can reassign or move work as necessary with a click of a mouse.