For Payers
Provider network management
Deliver quality and cost-containment with Provider Forward innovation.
Sagility’s platform improves the connect ratio based on historical successes, and a predictive model algorithm that prioritizes the queue to increase successful data collection.
Our Provider Forward, digital, and RPA solutions provide complete visibility of the end-to-end provider’s journey, while being compliant with CMS and state guidelines and millions of dollars saved in operating costs.
Benefits of our network management solutions include :
Reduction in costs of preparing directory files
Improvement in claims auto-adjudication rates
Improvement in operational efficiencies
Reduction in rates of pending claims
Fraud detection and immediate action
Avoidance of resource costs to support claims fallout and member service
Improvement in access to care and provider relationships
Think your provider directories and credentialing workflow could be in better shape? You aren’t alone. A recent HHS survey uncovered data errors in half of the doctor listings for Medicare plans.
Fill out this form to gain access to our provider network management solution overview and see how it can work for your organization.