Automate digitized / scanned forms for achieving transformational outcomes with our AI-powered automation solution. iFP enables intelligent automation for form data extraction in real-time. Advanced AI/ML, Natural Language Processing (NLP) and Computer Vision (CV) based technologies enable automated data extraction for faster data capture with high accuracy along with dynamic insights for data driven decision making.

Our solution supports end to end process automation of form processing workflows supporting a variety of forms used in the medical, insurance, fintech, manufacturing, retail, education, and other industries.

Automate digitized / scanned forms for achieving transformational outcomes with our AI-powered automation solution. iFP enables intelligent automation for form data extraction in real-time. Advanced AI/ML, Natural Language Processing (NLP) and Computer Vision (CV) based technologies enable automated data extraction for faster data capture with high accuracy along with dynamic insights for data driven decision making.

Our solution supports end to end process automation of form processing workflows supporting a variety of forms used in the medical, insurance, fintech, manufacturing, retail, education, and other industries.

iFP offers unparalleled advantages to clients by reducing the total cost of ownership (TCO), offering best in class time to value (TTV) and significantly faster Turn Around Time (TAT).

iFP also supports a variety of formats including scanned images, PDF, word, and other common formats, handling even low quality documents, including document images clicked on mobile phones, making it a truly versatile, unique and innovative offering.

Automate digitized Medical Document Processing for achieving transformational outcomes with our AI-powered automation platform, iMDP. iMDP enables intelligent automation for data extraction, processing workflows and cognitive automation for providing actionable data insights, all in one unified platform.

Automate digitized Medical Document Processing for achieving transformational outcomes with our AI-powered automation platform, iMDP. iMDP enables intelligent automation for data extraction, processing workflows and cognitive automation for providing actionable data insights, all in one unified platform.

• Automated Digital document / data intake of pre-authorized claims & medical documents
• Comprehensive claim adjudication edits as well as predictive analytics for determining risk prior to payments
• Claim processing workflow automation from intake processing all the way to downstream payment processing systems

Our advanced AI/ML, Medical Language Processing (MLP) and Computer Vision (CV) based technologies enables auto-classification of documents, automated data extraction, medical codification based on medical ontologies, custom content summarization and generation of dynamic data insights for faster determinations and decisions.

iMDP supports a variety of medical documents (including medical forms, patient medical records,Hospital medical documents, diagnostic reports, doctor’s notes, operative reports, pre-authorization and claim related documents) in both printed and hand-written textformats. iMDP also supports multiple formats including image, PDF, word, and other common formats. iMDP can handle low quality documents, including document images clicked on mobile phones, making it a truly versatile and unique offering.

iMRR is an AI-powered document processing solution designed to process your digitized medical records efficiently with speed and accuracy. With iMRR solution, digitally automate your medical records processing, transform your medical record review process, and achieve transformational outcomes.

AI-powered Intelligent Medical Records Review (iMRR) cloud solution is the digital way to enable insurance companies, independent medical evaluation (IME) firms, healthcare BPOs / KPOs and other claim auditors and reviewers to conduct smart medical record reviews. Auto classify medical record document types, extract, sort, organize, mine and summarize medical record content and decision insights for claim or medical decision making. Pre-built workflows and human in the loop tools within the iMRR solution allows for integrating it with your operational workflows easily.

It is estimated that Fraud, Waste, and Abuse (FW&A) in medical claims could cost insurance companies anywhere from 5-10% of provider pay outs. Traditional methods of detecting payment integrity are effort intensive and expensive. Insurance Payment Integrity Analytics payment integrity solution is an end-to-end automated solution for payors to perform traditional claim/utilization review analytics as well as pre-payment and post-payment analytics to identify anomalous claims, providers, encounters, and members.

It is estimated that Fraud, Waste, and Abuse (FW&A) in medical claims could cost insurance companies anywhere from 5-10% of provider pay outs. Traditional methods of detecting payment integrity are effort intensive and expensive. Insurance Payment Integrity Analytics payment integrity solution is an end-to-end automated solution for payors to perform traditional claim/utilization review analytics as well as pre-payment and post-payment analytics to identify anomalous claims, providers, encounters, and members.

• Automated Digital document / data intake of pre-authorized claims & medical documents
• Comprehensive claim adjudication edits as well as predictive analytics for determining risk prior to payments
• Claim processing workflow automation from intake processing all the way to downstream payment processing systems

Insurance Payment Integrity Analytics is evidence-based, which looks for prevalence of over or underpayment patterns through pre-built and purpose-built advanced analytics algorithms and models, which can self-learn and improve outcomes significantly.

Claims adjudication process offers the biggest opportunity for health insurers to transform their operations and reduce costs. Hyper claims adjudication process involves:

• Automated Digital document / data intake of pre-authorized claims & medical documents
• Comprehensive claim adjudication edits as well as predictive analytics for determining risk prior to payments
• Claim processing workflow automation from intake processing all the way to downstream payment processing systems

Claims adjudication process offers the biggest opportunity for health insurers to transform their operations and reduce costs. Hyper claims adjudication process involves:

• Automated Digital document / data intake of pre-authorized claims & medical documents
• Comprehensive claim adjudication edits as well as predictive analytics for determining risk prior to payments
• Claim processing workflow automation from intake processing all the way to downstream payment processing systems

Insurance Payment Integrity Analytics is evidence-based, which looks for prevalence of over or underpayment patterns through pre-built and purpose-built advanced analytics algorithms and models, which can self-learn and improve outcomes significantly.

Beneficiaries seek and realize benefits through eligibility & benefit processing . Automated processes have the potential to transform customer experience and overall operational efficiency.

Automated eligibility and benefit verification solution transforms eligibility determination process through digital automation. Key aspects of automation include:

• Digital intake of documents pertaining to eligibility application and benefits processing
• Automated extraction of data and evidence from documents and electronic sources
• Auto-verification of data quality, program rules and criteria
• Decision support and cognitive insights for faster approval determinations / decisions

Beneficiaries seek and realize benefits through eligibility & benefit processing . Automated processes have the potential to transform customer experience and overall operational efficiency.

Automated eligibility and benefit verification solution transforms eligibility determination process through digital automation. Key aspects of automation include:

• Digital intake of documents pertaining to eligibility application and benefits processing
• Automated extraction of data and evidence from documents and electronic sources
• Auto-verification of data quality, program rules and criteria
• Decision support and cognitive insights for faster approval determinations / decisions

By automating the eligibility and benefits determination processes, customers can greatly benefit from faster, accurate and transparent processing.

Benefit administrators can achieve transformational outcomes in terms of efficiency gains, reduced cost and manpower effort as well as reduced turnaround time (TAT).

Cognitive powered business can be a game changer. The transition from information gathering and report generation to data analysis and predictive capabilities has proven to transform business outcomes.

SapphireVantage.AI powered Health analytics solution offers several capabilities to maximize the potential to leverage analytics for improving business performance including:

• Business data cataloguing for leveraging pre-built healthcare datasets or configuring new healthcare datasets
• Fusion analytics for integrating and unifying healthcare datasets
• Configuration and real-time processing of algorithms to support business performance analysis
• Self-service analytics for empowering users to take data-driven decisions
• Identify performance outliers and gain deeper understanding of the underlying characteristics

Cognitive powered business can be a game changer. The transition from information gathering and report generation to data analysis and predictive capabilities has proven to transform business outcomes.

SapphireVantage.AI powered Health analytics solution offers several capabilities to maximize the potential to leverage analytics for improving business performance including:

• Business data cataloguing for leveraging pre-built healthcare datasets or configuring new healthcare datasets
• Fusion analytics for integrating and unifying healthcare datasets
• Configuration and real-time processing of algorithms to support business performance analysis
• Self-service analytics for empowering users to take data-driven decisions
• Identify performance outliers and gain deeper understanding of the underlying characteristics

By leveraging the hidden value in data, healthcare organizations can bring down costs, while improving operational efficiency and overall business performance.

Healthcare providers, hospitals and health systems lose anywhere between 3-15% of their revenue due to denials and underpayments. RevO - revenue optimization solution aims at preventing such revenue leakages using the power of artificial intelligence and data analytics.

RevO - revenue optimization solution supports intake of revenue cycle datasets such as claims and remittance advice from the existing RCM systems; then discovers denial and underpayment patterns from the past data. These discoveries are made available to the revenue cycle analysts for real-time monitoring through highly interactive dashboards. Predictive models can prospectively identify at-risk claims for revenue leakage prior to claim submission.

Healthcare providers, hospitals and health systems lose anywhere between 3-15% of their revenue due to denials and underpayments. RevO - revenue optimization solution aims at preventing such revenue leakages using the power of artificial intelligence and data analytics.

RevO - revenue optimization solution supports intake of revenue cycle datasets such as claims and remittance advice from the existing RCM systems; then discovers denial and underpayment patterns from the past data. These discoveries are made available to the revenue cycle analysts for real-time monitoring through highly interactive dashboards. Predictive models can prospectively identify at-risk claims for revenue leakage prior to claim submission.

Medical coding plays a pivotal role in ensuring timely and accurate payments form payors. Accurate medical coding involves collecting many data points, including unstructured clinical notes, from medical records.

RevO Automated Medical Coding solution simulates human medical coding expertise and practices. The solution auto-extracts medical information, contextualizes it, and codifies the information through artificial intelligence and knowledge automation.

Medical coding plays a pivotal role in ensuring timely and accurate payments form payors. Accurate medical coding involves collecting many data points, including unstructured clinical notes, from medical records.

RevO Automated Medical Coding solution simulates human medical coding expertise and practices. The solution auto-extracts medical information, contextualizes it, and codifies the information through artificial intelligence and knowledge automation.

Healthcare providers can leverage technology to reduce the manual efforts, tremendously reducing coding errors and validating the accuracy of codes. As a result, providers can reduce revenue leakage significantly while increasing revenue collections and reduce medical coding costs.

Pharmacovigilance acquired a lot of significance in the post-pandemic world as the need and demand to monitor the efficacy and risks of drugs and vaccines grew to a massive scale. Drug manufacturers and regulatory bodies face the burden of increased workloads due to the world-wide surge in vaccinations as well as pandemic related medical treatments.

Pharmacovigilance acquired a lot of significance in the post-pandemic world as the need and demand to monitor the efficacy and risks of drugs and vaccines grew to a massive scale. Drug manufacturers and regulatory bodies face the burden of increased workloads due to the world-wide surge in vaccinations as well as pandemic related medical treatments.

Automated pharmacovigilance solution reduces the burden on the pharmacovigilance program by automating data collection, digital processing of source documents and auto-detection of adverse events. The solution provides data-driven insights for processing, summarizing, and reporting results transforming the way in which vigilance activities are performed ;reducing the time, effort and cost and improving overall compliance.

Disease surveillance gains criticality in the post-pandemic world, as early detection and intervention is a health imperative both from patient care as well as public health management standpoint.

Automated digital disease surveillance solution reduces the burden on by automating data collection, digital processing of source documents and auto-detection of disease prevalence, which are essential digital triaging for early intervention.

Automated disease surveillance solutionssolution transformtransforms the way in which vigilance activities are performed by reducing the time, effort and cost and improving overall health of the population

Disease surveillance gains criticality in the post-pandemic world, as early detection and intervention is a health imperative both from patient care as well as public health management standpoint.

Automated digital disease surveillance solution reduces the burden on by automating data collection, digital processing of source documents and auto-detection of disease prevalence, which are essential digital triaging for early intervention.

Automated disease surveillance solutionssolution transformtransforms the way in which vigilance activities are performed by reducing the time, effort and cost and improving overall health of the population

Automate digitized / scanned forms for achieving transformational outcomes with our AI-powered automation solution. iFP enables intelligent automation for form data extraction in real-time. Advanced AI/ML, Natural Language Processing (NLP) and Computer Vision (CV) based technologies enable automated data extraction for faster data capture with high accuracy along with dynamic insights for data driven decision making.

Our solution supports end to end process automation of form processing workflows supporting a variety of forms used in the medical, insurance, fintech, manufacturing, retail, education, and other industries.

iMRR is an AI-powered document processing solution designed to process your digitized medical records efficiently with speed and accuracy. With iMRR solution, digitally automate your medical records processing, transform your medical record review process, and achieve transformational outcomes.

AI-powered Intelligent Medical Records Review (iMRR) cloud solution is the digital way to enable insurance companies, independent medical evaluation (IME) firms, healthcare BPOs / KPOs and other claim auditors and reviewers to conduct smart medical record reviews. Auto classify medical record document types, extract, sort, organize, mine and summarize medical record content and decision insights for claim or medical decision making. Pre-built workflows and human in the loop tools within the iMRR solution allows for integrating it with your operational workflows easily.