Leading the transformation of traditional claim processing with electronic claim solution with an automated EDI workflow that improve provider-to-payment process, reduces follow ups, and decreases management cost.
We leverage HIPAA-mandated data translation and formats for secure connectivity between payer-to-provider system so that every claim is processed accurately.
With state-of-the-art technology, we enable your organization to capture data transaction and claim forms for electronic processing.Contact Sales
Empowering healthcare payers with solutions that emphasizes on continuity of care across provider networks.
Driven by technology, collaborative care management for payers focuses on provider-led health programs to improve quality of life, clinical status, and patient satisfaction.
We deliver leading-edge solution to control patient health by providing on-demand health support, real time care delivery through mhealth and wearable technology, and integrated application for multitude of services necessary to improve overall health of the patient.Contact Sales
Simplifying the complex contract management between providers and patients.
Our network management solutions help healthcare payers streamline the design, servicing and management of provider network whilst offering the flexibility to employ new collaboration and network strategies with providers and enhance care delivery and payment approaches.
We work dedicatedly with payers to improve complex interactions between providers, simplify credentialing, contracts, and reimbursements.Contact Sales
We deliver industry-leading business administration solution tailor-made for payers of different size.
Our core administration solutions are designed to help you automate business processes, streamline workflows, and increase efficiency and productivity.
With integrated administration solution, you can optimize claim process, automate membership, improve user-defined care, proactively manage regulatory compliance, and support EDI driven with HIPAA while delivery patient satisfaction.Contact Sales
We deal with payers of all size to create solutions that detects, corrects, and prevents claim fraud, waste and abuse.
Leveraging the power of technology, we build best-of-breed solution that improves payment integrity and accelerates claim adjudication. From complex data analyze to claim error report, our solutions are designed to increase your business efficiency while maintaining regulatory compliance.
We build solution for payers with a goal to reduce claim errors, meet cost containment objectives, detect claim fraud before payment, and streamline investigations.Contact Sales
We partner with growing healthcare payers to help them successfully control expenses.
We boost your business goals with personalized tools, platforms, and software that empowers your care management program, business management, and provider networking while dramatically reducing costs.
Our solution for cost containment organizations includes automated medical billing review, medication analysis, specialty contract management, quality and cost-effective care delivery.Contact Sales
OSP Labs delivers an integrated solution custom-built for all levels of claims management for payers to succeed in revenue-critical risk adjustment business.
From suspect targeting and prospective health assessments to medical coding retrieval and record coding, our solutions offer an accurate view of your risk conditions-undocumented and unreported claim conditions.
We offer full-service risk management services to eliminate claim-based errors, drive productivity, and increase your business ROI.Contact Sales
Our aim is to transform traditional data warehouse to more structured cloud-driven data models for healthcare payers across service domain.
Leveraging the power of technology and big data, we are building tools, platforms, and software that enables payers to secure, integrate and examine large sets of information driven from varied healthcare sources.
Our best-in-class big data team collaborates with healthcare experts to build result-oriented advanced data analysis tools to improve clinical efficiency, health outcomes, and overall elimination of claims fraud.Contact Sales