NORWALK, Conn., Nov. 17 /PRNewswire/ -- IntelliClaim, an industry leader in healthcare claims optimization technology, today announced the general availability of IntelliClaim Performance Analyzer(TM). The solution helps healthcare payors streamline the task of effective claims activity monitoring by tracking processing performance more easily and cutting through the complexity of finding relevant events from within mountains of operational data.
Designed specifically for health plans, the Performance Analyzer is an analytic tool that delivers user-friendly, real-time access and monitoring of the claims lifecycle, to:
* enable proactive operational decisions based on accurate and timely
claims data;
* provide immediate access to key business indicators affecting each
manager's role and department, as they occur;
* give access to valuable, relevant information when, where and how it is
needed for effective financial, operational and clinical decision
making thru customized metrics libraries; and
* "pushed" e-mail notifications to notify managers and other stakeholders
of any abnormalities in the claims process.
"We are excited about our powerful, robust tool that will help health care payors become more efficient in their claims and reporting processes," said Kevin Hickey, IntelliClaim Chief Executive Officer.
The IntelliClaim Performance Analyzer helps streamline the massive amounts of data that health plans must wade through to find relevant operational events, drill down into the claim detail around an event, and view reports in user-specified graphical or text presentations. The solution broadcasts alerts to notify users of abnormalities in the health plan's operations, improving communication throughout the enterprise. User-defined metrics can have multiple alerts, based on selected thresholds, and the Performance Analyzer disseminates the message to various departments and managers. The alerting feature helps health plans toward:
* quicker issue resolution;
* increased member, provider and group satisfaction;
* decreased costs; and
* overall improved efficiencies.
One of the key components of the IntelliClaim Performance Analyzer is the industry-leading technology of IntelliClaim's Hub Architecture. On receiving claims from a client's claim processing system, the Claims Hub translates, validates and loads the claim data into its Operational Data Store, intelligently linking related claims, and retrieving metric-specific data. Effective use of claim history enables alerts based on trending, time series analysis and normative comparison.
"The IntelliClaim Performance Analyzer is the next step in increasing the power and utility of our Claims Hub," stated Daniel Lyakovetsky, Chief Information Officer at IntelliClaim. "As we continue to deliver more features and functionality to health plans, the Performance Analyzer will become an integral component of a health plan's claims activity monitoring."
The IntelliClaim Performance Analyzer is fully interoperable with IntelliClaim's core Enhanced Claims Editing solution. Easily and quickly installed, the solution allows for real-time monitoring and trending of claims editing and other claims processing metrics. Added Hickey, "The Performance Analyzer easily interfaces with, and enhances, any payor's technology infrastructure, helping them to get more from their existing investment."
About IntelliClaim
IntelliClaim is a technology solutions company that helps healthcare payor companies cut costs and increase the performance of claims processing using a powerful combination of technology, services and industry knowledge. IntelliClaim offers payors sophisticated and effective solutions that produce immediate medical and administrative savings. IntelliClaim reviews over $24 billion in healthcare claim decisions annually for healthcare payor organizations, covering 20 million lives, including some of the country's largest health plans.
IntelliClaimCONTACT: Mark Isbitts of IntelliClaim, +1-770-926-2648,misbitts@intelliclaim.com
Web site: http://www.intelliclaim.com/