Capabilities of Automated Claims Monitoring

Infogix delivers the automated claims monitoring solutions that you need to achieve transaction transparency, reduce leakage, cut costs, and ensure compliance.

Achieve Transaction Transparency

• View claims as they enter and leave the system.
• Improve operations and streamline processes.
• View claims at any point in time.

Reduce Claims Leakage

• Automate controls to manage and reduce costs.
• Receive alerts when errors occur in a process.
• Diminish fraud by creating rules or permissions for specific positions, regions, and groups.
• Track premium dollars.
• Validate merger and acquisition conversion processes.
• Reconcile escheat funds.

Cut Processing Costs

• Validate that a claim is correct before it enters the system, and that it did not change between systems and/or processes.
• Ensure that you are processing claims in a timely manner, through all of the necessary process steps.
• Verify that all necessary information is complete (e.g., the claim is "clean"), before processing begins.
• Increase the number of claims you can process for HSAs and Medicare D programs.

Ensure Regulatory Compliance

• Automate the controls associated with statement reporting, such as state regulations (Schedule D), as well as HIPAA and SOX.

Learn More About Infogix Automated Claims Monitoring Solutions

Find out about the benefits that our solutions offer. Or contact us today to learn more about Infogix automated claims monitoring solutions.