This covers CRM, financial solutions, insurance verification, enrolment and consent, benefits investigation, claims appeals, prior authorization, co-pay assistance, case management and patient adherence programs.

PORTFOLIO

HEDIS NLP

It provides a smart solution to Healthcare Providers and Patients using advanced Analytics. The patient’s medical records are processed using OCR and the text is obtained from the Digital Charts. Which is [...]

- Compliant to HIPAA standards
- NLP-driven HEDIS overread provides results for a full mat ....

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Fundus Digital Sketchpad and Information Management

The application consists of two parts, a digital sketchpad and data entry utility for iPad and iPhone and a backend application developed for doctors & researchers. The mobile application streamlines and accelerates the process of [...]

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HRA and Direct Contracting Model

The long-term objective of the application is to create a direct contracting model between employers and hospitals to remove insurance companies thus disrupting the US healthcare system. This will help [...]

  • Micro service architecture for modules access and configurations for different clients.
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OBSGYN EHR

OBSGYN-EHR is an intelligently designed PMS for both prenatal and postpartum care that comprehensively captures and manages all data points of the patient journey arising from examinations and patient diagnosis. [...]

 

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Automating Prior Authorization to Optimize Revenue Cycle management (RCM)

Prior authorization is an expensive and complex process, and the primary reason for claim denials for Providers is an inability to implement the proper process and documentation during the prior authorization phase. Approximately 90% of Prior Authorisations (PA) are still handled offline via IVR, mail, and phone calls. Only one-fifth of the 182 million transactions were automated between 2016 and...

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