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Description
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Use cases
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
i3Claim
i3Claim

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Categories

Solutions

Description

Product Description:

i3Claim: End to end Claims Processing Automation solution

With increasing complexities and evolving consumer demands, digitisation of the claims process has become essential for insurers to ensure fast settlement & payment of claims as well as drive customer satisfaction and set standards of service.

However, traditional claims processes involve intensive document-driven operations and the processing of non-structured data in multiple formats/nomenclature, making it difficult for insurers to process claims efficiently and quickly.

i3claim helps in capturing significantly more data-points in much lesser handling time. It reduces the extent of manual data capture and human errors in the entire claims process by more than 60%, making it much faster and extremely scalable.

i3claim accepts data input from a variety of sources like Hospitals, Pharmacies and Diagnostic centres. It extracts, classifies, and standardizes non-structured data present across multiple documents.

i3claim reduces the claims process to a single queue, by automating several parallel activities. This improves efficiency and leads to a reduction in cashless discharge time from 4 hours to less than 30 minutes for 90% of the cases. AI-assisted processing covers accurate capture of Non-payable and tariff comparison on 60% of the line-items. This has led to an average of USD 200-5000 savings per claim compared to manual processing.

About i3systems:
i3systems is a healthcare machine learning product company, with a particular focus on the insurance clients. Our system can work on a variety of documents and unstructured data-sets to create an extremely high-quality data essential in predictive modeling, process automation, and decision making. The company has created unique frameworks which blend computational linguistics, machine learning / AI models, image processing, NLP, quality-control rule engines, interactive interfaces; in order to solve a wide variety of problems associated with Underwriting and Claims decision making in health and life insurance companies. Company's products i3claim, DataMD, DigiTariff and TBots perform process-automation, straight-through-processing with zero manual-touch-points, fraud detection, and Multi-dimensional risk stratification in Claims, Underwriting, Tariff digitization processes. We are Leaders in Health Insurance market today because of our innovative platforms and commercial structure. We have proven our capabilities across large enterprise clients in India and Globally helping the likes of AXA Gulf, Bajaj Allianz, ICICI Lombard, Healthcare TPAs, etc. achieve: • Over 50% reduction in operational costs, • Our AI/NLP based models help in achieving more than 90% accuracy, • 70% decrease in processing time, • 300% improvement in skilled FTE productivity, • 90% reduction in leakages due to insufficient data and capture errors, • With 0% compromise on information security.
Product Description:
iTaaS exploits EdgeAi’s data pipeline framework to coordinate patient, service line, location, bed-level, and other features to place the right patient in the right bed at the right time.
About Edgility Inc.:

Edgility provides health systems with operations support services to improve key drivers of health systems success, reduce operational costs, and relieve care teams of administrative burden. 



Our technology is designed to deliver operational and business logistics that are complex and interdependent. Built on lean process, design thinking, and systems engineering principles our platform and tools seamlessly integrate with existing EMR systems and technology investments.

We’ve spent years in health system operations, healthcare IT, and clinical care and walk side-by-side with our health system partners to solve their most challenging operational issues and drive better health.

Front line health care heroes deserve the best operational insights and support, so they can focus on providing the highest quality patient care. Edgility relieves administrative burden from care teams by converting operational data into real-time intelligent insight to rapidly assist day-to-day operations.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

End to end Healthcare and Life Insurance Claims processing automation solution.

Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs

Description:

Ai-driven: ​

  • Intelligent and transparent prioritization​
  • Smart Communication​
  • Back Transfer Orchestration​
  • Leakage prevention
Pediatric use cases:

Ai-driven: ​

  • Intelligent and transparent prioritization​
  • Smart Communication​
  • Back Transfer Orchestration​
  • Leakage prevention
Users:

Bed Management, Throughput and Transfer Center

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Allscripts

Hardware Compatibility:

Mobile / Tablet (web optimized)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

https://www.edgilityhealth.com/resources

EMR's are for doing, Edgility is for #Orchestrating. In this white paper, learn learn how Edgility Compliments #EMR, #ERP, #EDW and others without recreating or duplicating functionality.  #LeversOfAction.

Differentiators vs Competitors:
https://www.edgilityhealth.com/resources

Outlines Market Differentiators

Keywords

Images

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Videos

1 of 1

i3 Logo Animation_20 10 2021_Highres.mp4

1 of 1

Explainer - iTaaS.mp4

Downloads

No content provided

Alternatives

Company Details

Founded in 2016

Founded in 2016

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