Integrating digital ecosystem with real-time analytical insights
Optimizing workload management and accelerating cloud-native application deployments
Features
Payor
- Efficient and fast turnaround time
- Performance based DRG payment to provider
- Streamline insurance processes
- Access to current, reliable and traceable medical records from source
- Higher accuracy and automated adjudication for better governance
Provider
- Centralized and accessible high-quality data across Consent Management Framework
- Detect fraud, waste, abuse & errors
- Standardized data & coding formats
- Price and package monitoring and regulations
- Tracking & monitoring insurance activities
- Protect data confidentiality & custodianship
Patient
- Improve overall patient experience and quality of care
- Patient waiting time reduced at admission and claims management
- Enhance overall quality of care and patient safety by eliminating human error & medical risks
One key factor that contributes to a seamless experience for the patient is the Payor-Provider synergy. With the diverse needs of a patient, Providers need to be able to verify and validate patient's eligibility in record time.AINQA’s Payor Provider Platform improves access to medical records, provides health demographic insights and analytics and identifies and classifies payable and non-payable items in real-time. NLP based augmentation is used to extract claims data with greater precision to minimize errors and improve patient experience.