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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
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:

Our proprietary Health Fabric technology offers zero-waste data orchestration to protect your top and bottom lines. Seamlessly integrate disparate data sources and create a unified view of healthcare operations.

By breaking down data silos, Health Fabric enables:

• Real-time data synchronization across systems

• Enhanced data quality and consistency

• Improved interoperability between healthcare platforms and tools

• Faster, more accurate analytics and reporting

About MedeAnalytics:

Founded in 1993, MedeAnalytics is an innovation-focused company. Over the past three decades, we have worked tirelessly to reimagine healthcare through the power of data—and helped thousands of organizations achieve their potential along the way.

Leveraging state-of-the-art analytics and data activation, MedeAnalytics delivers actionable insights that support payers, providers, employers, and public entities as they navigate the complex healthcare landscape.

Using artificial intelligence and machine learning alongside the most advanced data orchestration in the industry, we empower organizations to optimize their resource allocation, experience superior patient outcomes, and achieve population health management goals.

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

Product Capabilities

Once your data has been ingested, cleansed and normalized in our secure platform, all clinical, financial and operational data is available to your organization in an enterprise single source of truth. Utilize our AI-powered, Integrated Analytics solutions and Data Science Factory™ to transform operations and streamline workflow, addressing complex business needs such as: • Identify and address revenue leakage points, recapturing lost income • Streamline billing processes, accelerating reimbursement cycles • Predict and prevent claim denials, improving first-pass resolution rates • Implement data-driven strategies to enhance overall financial performance • Quantify the quality of pre-service activities and increase POS collections • Gain visibility into the direct drivers of cost of care to optimize performance and improve margins on a continuous cycle

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:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

The Health Fabric is a data powerhouse that integrates and unifies millions of clinical, financial and patient datapoints to enable accurate, reliable and secure information exchange, across all data sources. This Unified Data Exchange is designed to integrate with every major EMR, payer, clearinghouse, bank and other data sources. This fluid transfer of data has hundreds of pre-built connections to integrate with multiple data sources, helping to simplify implementation, uphold data integrity and facilitate a seamless connection to the source of truth

Differentiators vs Competitors:

Specifically built for healthcare, MedeAnalytics Health Fabric delivers unparalleled power and scalability in data activation. This robust foundation empowers clients to fully harness their data assets within a unified and secure environment, seamlessly connecting multiple data sources and integrating with other solutions, ensuring rapid information delivery at the point of care.

Keywords

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Videos

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Downloads

No content provided

Alternatives

Company Details

Founded in 2016

Founded in 1993

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