Transform Healthcare Operations with BPaaS, AI, ML, and Advanced Analytics
Deliver business insights, reengineer processes, improve accuracy and efficiency through our advanced solutions.
Forecast, Anticipate, Target, Visualize
Models for predicting or forecasting outcomes; an ability to personalize an interaction through more accurate identification, stratification and targeting; better customer service due to accurate sentiment analysis and next-best-action prompts; the ability to view relevant information for easier decisioning, these are some of the many examples of how we use a suite of data science and data engineering capabilities to deliver high-value services to our healthcare clients.
Our Solutions Offering
Al/ML
- Improved G&A processing with efficiency improvement and reduction in fatal errors
- Efficiency improvement in specific Payment Integrity processes
- Improved Member and Provider experience through Speech Analytics and NLP powered interaction analytics
- Improved recovery forecasting accuracy
Advanced Analytics & Optimization
- Overpayment prediction models highlighting savings for Clinical Audit programs
- Higher recovery through Propensity to Pay models
- Claims Error Propensity Model which improve claim processing accuracy & QA effectiveness
- Advanced collections per month by deploying optimization models
Business Intelligence
- Integrated analytical suite which reduces turnaround time for provider relationship managers
- Actionable insights for Claim Cost and Operational Management
- Medical Records review and
- Technical Denial Management
- Complex Connections to identify Fraudulent Behavior and Unusual Billing Patterns
- Special Investigations Unit Referrals
Speak with an expert to hear more
Connect with a Sagility expert today. Let’s explore innovative solutions tailored to your organization’s unique needs.
