Workers’ Compensation, Made Effortless
Our workers’ compensation TPA solutions suite combines domain-specific business process services. These services cover bill review, utilization review, eligibility and benefits, care management, provider network management, member and provider contact center services, mailroom or document management.
MoreOur workers’ compensation TPA solutions suite combines domain-specific business process services. These services cover bill review, utilization review, eligibility and benefits, care management, provider network management, member and provider contact center services, mailroom or document management.
With our AI-powered transformation levers, we help cut administrative burden, improve compliance, accelerate return-to-work (RTW), and reduce medical and operational costs.
LessWork Faster, Smarter and with Less Hassle
Our solutions are purpose-built to accelerate processing, reduces errors, and ensure compliance, saving time and money while improving outcomes.
Speed-Up Bill Review
Automate the medical bill review process to improve throughput
Proactive Fraud Check
Prepayment checks to detect fraudulent claims and flag them early
Stay Ahead of Compliance
Built-in checks to keep you audit-ready and worry-free
Delight Your Employees
Faster resolutions mean better experiences for everyone involved
Our Offerings
- Bill Review Processing: Intake and data entry, review, clinical/coding validation, duplicate and fraud detection, appeals/independent review, reporting and analytics.
- Utilization Review (UR): Case intake/triage, data management, notifications, guideline-driven review, audit-ready documentation.
- Provider Network and Management: Recruitment, adequacy monitoring, credentialing, data management, education/commission, provider services contact center.
- Eligibility and Benefit Administration: Enrollment (group/individual), premium billing, benefits configuration, AEP support, welcome kit distribution.
- Care Management: Patient assessment, care planning, education, and coordination.
- Contact Center Support: Omni-channel member/provider services, CCaaS-based operations.
- Mailroom and Document Management: Inbound/outbound handling, archival.
- Bill Review Co-Pilot: Speeds up approvals, identifies errors, and saves you millions.
- UR Co-Pilot: Automates medical reviews, reducing manual work by up to 60%.
- Smart Summaries: Turns complex medical documents into clear, actionable insights.
- AI Claims Scrubber: Cleans up claims before submission, reducing denials and ensuring you get paid faster.
- Fraud Detection and Payment Integrity: Protects your business from costly mistakes and frauds.
- Digital Patient Experience: Book appointments, send reminders, and keeps everyone informed – seamlessly.
Business Impact
- 20-30% less time spent on paperwork
- Up to 99% coding accuracy
- 40% fewer claim denials
- Millions saved every year
Get In Touch
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