OpenSpan provides solutions for Contact Centers, ERP & CRM Integration, Risk, Fraud and Compliance, BPM/BAM, etc., 
OpenSpan provides industry specific solutions for Insurance, Banking/Financial Services & Telecom. 
Use Healthcare Claims Automation to Accelerate Claim Repairs and Reduce Administrative Costs
The "human touch" will continue to be a vital component of delivering a positive customer experience. However in healthcare claims processing, there are many tasks that can be completely successful without any human intervention. By replacing manual claims repair tasks with strategically designed automation, payers can achieve measurable reduction in delays and costs while improving claims quality and accuracy.
In the past, attempting to automate insurance claims processing had been risky. There were sometimes weeks, months or even years between defining healthcare claims software automation projects and actually deploying the solution. But a healthcare payer's claims processing operation can't wait for protracted technology projects in the face of plan mergers, regulatory changes and pressure to cut costs.
OpenSpan lowers the risk by significantly reducing the cost and time required to automate claim repairs.
A Powerful Automation Engine to Revolutionize Health Claims Processing
The OpenSpan claim automation solution was designed to play a key role in your claims management strategy. It offers health claims processors a way to fully automate up to 95% of health insurance claims, using existing healthcare claims software and core systems. In just a matter of days or weeks, you can dramatically increase first pass auto-adjudication rates and reduce administrative costs while improving claims quality and compliance.
Claims automation is powered by OpenSpan's groundbreaking technology, the OpenSpan Automation Engine. Essentially, the automation engine emulates the exact tasks that were previously performed manually by a claims examiner. The engine manages claims repair tasks you define according to your unique business rules, such as:
- Pre-adjudication edits
- Adjudication repairs
- Post-adjudication reviews
- Claims adjustments
Healthcare payers and Business Process Outsourcers (BPOs) alike can better manage claims with this innovation in healthcare claims processing technology, which improves first pass auto-adjudication rates while improving compliance and reducing administrative costs.
Learn About:
- OpenSpan Health Insurance Claims Optimization Data Sheet
- Reducing Administrative Costs and Meeting MLR Requirements
- Process Improvement for Insurance Customer Service
- Process Improvement for Insurance Membership and Back Office Operations
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