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

Categories

Solutions

Description

Product Description:

Say goodbye to endless voicemails, mountains of messages, and phone tag that won’t quit. Navigator is here to interface with patients like a new virtual customer service agent, capable of seamlessly handling patient requests across phone, SMS, and chatbot interactions. Save staff time by offering natural, conversational AI interactions that address simple patient needs. No more tedious repetition of requests and context with each handover; Navigator remembers previous interactions and carries them across channels. Patients can manage appointments, request refills, and more – saving valuable time for clinical workflows.

About Luma Health:

Luma was founded on the idea that healthcare should work better for all patients. Instead of a disconnected experience, where patients are forced to be their own healthcare advocates and provider teams struggle to reach their patients, every point along the care journey should be simple, seamless, and effective. Luma’s Patient Success Platform™ empowers patients and providers to be successful by connecting and orchestrating all the steps in the patient journey, along with all the operational workflows and processes in the healthcare ecosystem.

 

Headquartered in San Francisco, Luma serves more than 600 health systems, integrated delivery networks, federally qualified health centers, specialty networks, and clinics across the United States, and today orchestrates the care journeys of more than 35 million patients.

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

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:

Navigator enables patients to access conversational self-service when they need to:

  • Manage appointments, including new appointment scheduling, cancellation, and rescheduling
  • Request prescription refills
  • Patient verification for multiple family members
  • Ask for information about an existing appointment
  • Integrate with other areas of the Luma platform for more
Pediatric use cases:

All use cases are applicable in pediatrics as well, with the benefit of family management: Navigator can verify multiple patient identities within an interaction, allowing parents to handle whole-family needs.

Users:

Navigator interfaces directly with patients and their family members.

Staff users include call center staff and individual scheduling managers who can oversee communication and review patient interaction summaries.

Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

Ambulatory EMR, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, athena, NextGen, eClinicalWorks, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Other

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:

Not applicable

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:

Not applicable

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

Navigator integrates two months' worth of contextual information from Luma interactions and EHR to conduct a seamless, natural customer service interaction

Differentiators vs Competitors:

Luma's depth of integration into the EHR lends functionality and streamlines work processes

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

TQA's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

TQA has a practice that is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, TQA is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

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Videos

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Element Blue Branded RPA with Navinet Aetna.mp4

Downloads

No content provided

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66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

Founded in 2015

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