EPITOME Claims Processing enables a better customer experience, more efficient claims processing and improved business information
Pre-Packaged Functionality
EPITOME Claims Processing standardizes each claim from intake through review and adjudication to payment approval, interacting with your core systems throughout.
- Multiple intake channels (Web, Fax, Email, Paper)
- Auto-extract data from claim forms
- Case centric view of policy and claim data, events, contacts, and external parties
- Rules-driven workflow and workforce management
- Provide clean claims data to host claims system
- Integrated exception processing and handling
- Integrates with internal or BPO platforms
- Real-time dashboard, reporting and performance management (standard and customized)
- Single user interface
Benefits
- Centralize administration of all claim submissions
- Reduce manual data entry
- Streamline case and claim handling
- Reduce cost
- Quicker response time to changing requirements
- Minimize manual exception processing
- Streamline exception handling
- Dramatically reduce per member per month enrollment and maintenance costs
- Proactively monitor and optimize business
- Increased productivity (decreased training time with an increase in quality)