Advanced Analytics, AI/ML & BI
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
- 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
- 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.