Novacis Digital Healthcare Payor Solutions improve claims accuracy and operational efficiency by unlocking high-impact, unstructured data across claims and payment workflows.
By connecting intake, adjudication, and payment decisions, our AI reduces delays, minimizes leakage, and eliminates manual effort across the lifecycle, enabling faster turnaround times without disrupting existing systems.
Faster claims and authorization decisions without added review burden
Lower operational cost through reduced rework and manual touchpoints
More consistent, accurate outcomes across high-volume workflows
Faster provider reimbursement and improved member experience
Stronger compliance and audit-ready operations
Faster, more predictable claims turnaround
Reduced administrative effort across the lifecycle
More accurate, consistent decision outcomes
Improved member and provider experience
Faster Payor Decisions. Seamless Execution.
Our AI solutions unify data, automate decision-making, and execute workflows across every stage of the claims lifecycle.
Claims processing slows down when decisions rely on incomplete data and manual validation. We enable faster, context-driven decisions, so providers get paid sooner and members receive timely updates.
Reduce Operational Friction at Scale
High-volume payor workflows are often burdened by rework, corrections, and avoidable handoffs. We streamline execution so teams can process more with less manual effort.
Improve Consistency Across Complex Decisions
Variability in reviews leads to inconsistent outcomes and compliance risk. We bring context-aware decisioning that improve accuracy, standardization, and trust.
Turn Decisions into Actions Faster
Claims approvals often stall before downstream execution. We connect decisions directly to workflows, so actions happen faster and with greater control.
Solutions
intelligent Document Processing (iDP)
Novacis Digital’s iDP transforms unstructured documents into structured, validated, decisionready data automatically. It understands context, validates information, and triggers workflows without adding headcount. It goes beyond extraction to understand context and intent, extract the right data, validate it against business rules, and trigger the right workflows, without manual intervention at every step.
The result is faster decisions, lower costs, and document operations that scale without increasing headcount.
Convert any document of any format, any source into structured, usable data
Validate extracted data before it reaches your systems
Trigger workflows instantly after processing
Maintain a complete audit trail for compliance
95+% extraction accuracy
80% reduction in manual effort
40% lower operating costs
3x faster turnaround time
intelligent Forms Processing (iFP)
Novacis Digital iFP auto configures to any form the moment you upload it. No templates. No training cycles. It detects fields, understands structure and context, extracts the right data with high accuracy, validates it against your business rules, and sends structured outputs directly into your systems.
What used to take hours of setup and manual entry now happens instantly and at scale.
Medical documents are complex, unstructured, and critical to outcomes. Novacis Digital iMDP goes beyond extraction to understand clinical context and intent.
It interprets diagnoses, treatments, and relationships across documents, extracts the right data, validates it against clinical rules, and delivers structured outputs ready for care decisions, claims processing, and compliance workflows. The result is faster decisions, reduced manual review, and clinical operations that scale without increasing effort.
Understands clinical context, not just the medical text
Processes handwritten and low quality medical records
Applies built in medical coding intelligence
Turns medical documents into executed clinical decisions
Faster turnaround for clinical workflows
Reduced manual abstraction effort
Lower operating costs.
Fully compliant and audit-ready
Fraud, Waste & Abuse (FWA) Payor Analytics
Novacis Digital FWA Payor Analytics analyzes claims in real time, detects anomalous patterns, and moves cases forward before payment is authorized.
It understands claim data, identifies risk patterns, generates evidence, and triggers investigation workflows automatically. The result is reduced payment leakage, faster investigations, and a shift from recovery to prevention.
Analyzes patterns across claims, providers, and members
Connects detection to investigation and case execution
Delivers audit ready outcomes for every case
Reduced payment leakage
Faster investigation and resolution
Full claims coverage
Audit-ready case documentation
Claims Hyper-Adjudication
Claims adjudication is one of the largest cost drivers in payer operations. Manual intake, fragmented edits, and post-payment checks slow down processing and increase error rates.
Novacis Digital Claims Hyper-Adjudication automates the full adjudication cycle from document intake to payment execution, applying validation, edits, and integrity checks before payment is released. The result is faster turnaround, improved accuracy, and significantly lower operational cost .
Medical record review slows down because reviewers spend hours finding, organizing, and interpreting information before decisions even begin.
Novacis Digital iMRR removes that step. It classifies, extracts, and summarizes medical records into structured summaries, timelines, and evidence so reviewers focus on review decisions, not document review. The result is faster reviews, improved consistency, and reduced manual effort.
How Intelligent Document Processing Cut Case Processing Time by 35% for a U.S. KPO Serving Healthcare, Insurance, and Legal Clients
Learn how a U.S. KPO reduced processing costs, accelerated case turnaround, and unified complex document operations with AI-powered document processing.
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