Mastech InfoTrellis’ Post

One of our clients is trying to win the trust of THEIR client—and in the world of healthcare companies, that isn't easy.     💪So we're stepping in to help.     Basically, our client is processing claims for a third-party healthcare company.     If you're not familiar, here's a light overview of the very arduous claims-filing process for healthcare companies:     ➡️The healthcare company submits a claim to the insurance company via an 837 form.  ⬅️In return, the insurance company responds with an 835 form and an EOB (Explanation of Benefits) via EDI (electronic data interchange).  🔎The healthcare company uses the 835 form to identify what the insurance company is paying on each claim.      So what's the story with our client?     Insurance companies will only send the 835 to the primary provider—not to our client. Our client then processes some of the claims since their method is more cost-effective than that of the third party.     Where do we stand in all of this?     Processing healthcare claims is a big responsibility. At LeapFrogBI, we're helping our client better manage their data so they can improve their claims process—and impress their own client.     🧑🏻💻We carefully analyze the EDI data.  💡We determine what information our client needs to alter.  🔨We reconstruct a new 835 form for processing.    🚀In this way, we help our client prove a concept to THEIR client, which they can continue to build upon to further develop and grow their business.    It’s an out-of-the-box solution, but I’m all about out-of-the-box thinking at LeapFrogBI, where we’re always prepared to go the extra mile with innovative, custom solutions.    Need a custom-built solution to tackle one of your team’s biggest problems? Give me a call, and let’s figure it out together.    #healthcareanalytics #datadriven #dataculture 

🚀 Discover the Pros and Cons of Enterprise Application Integration (EAI). Enhance operational efficiency and gain a competitive edge with our expert insights. Dive into our latest blog for a comprehensive analysis: https://buff.ly/3XVJRjL Learn how EAI can transform your business: https://buff.ly/3zy12h0 #EnterpriseApplicationIntegration #SystemModernization #DataModernization #DataManagedServices #DigitalTransformation #Technology #Manufacturing #Healthcare #Insurance #Xorbix

Struggling with Paper Claims? Are manual processes and compliance issues slowing down your claims management? Frustrated with inefficiencies and errors from paper claims? Our Paper-To-EDI Conversion Service is designed to eliminate manual data entry, enhance data accuracy and ensure regulatory compliance. Transform your operations and reduce costs with a solution tailored to the needs of healthcare organizations. Contact us today! https://hubs.li/Q02G7mDX0 #Healthcare #Insurance #PaperToEDI #ClaimsProcessing #Efficiency #HealthcareIT #TPAs #DigitalTransformation #HealthTech #Automation #Healthplans

Learn more about how a new external #DataManagement system can benefit your organization in this Trexin Consulting Case Study. #Healthcare #Data #Analytics #Technology #DigitalTransformation

Data Warehousing (DWH) to revolutionize how we manage health data in India. Imagine a scenario where your Aadhaar card, health insurance details, and medical records are seamlessly integrated into a robust healthcare data warehouse. This would not only streamline access to essential health information but also empower healthcare providers and patients alike. Why This Integration Matters: Personalized Healthcare: By linking Aadhaar with health records, doctors can access complete medical histories, leading to more personalized and effective treatment plans tailored to individual needs. Insurance Efficiency: A centralized data warehouse can facilitate real-time access to insurance details, minimizing claim processing times and ensuring that patients receive timely care without the burden of paperwork. Data-Driven Insights: Leveraging advanced analytics on aggregated data can uncover health trends across populations, enabling proactive measures to improve public health and resource allocation. Enhanced Security and Privacy: Utilizing Aadhaar’s secure framework ensures that sensitive health information is protected while providing patients with easier access to their records. In a country as diverse and dynamic as India, the convergence of DWH with Aadhaar, insurance, and health records can pave the way for a more efficient, accessible, and personalized healthcare system. It’s a transformative journey that excites me and holds the promise of a healthier future for all! #Healthcare #DataWarehouse #Aadhaar #HealthRecords #Insurance #HealthTech #India #PatientCare #HealthcareInnovation

Good News for Investors in Small and Medium Healthcare Service Providers! Micropro is here to protect your CSR healthcare investments by strengthening business processes and enhancing your brand value. Many corporations invest in healthcare as part of their CSR initiatives. However, without a healthcare background, investors may struggle to optimize resources, leading to underperformance. Some challenges they face include: 1. Dependency on Healthcare Operations Management: Investors often rely heavily on their management teams. 2. Performance Pressure: Investors may have high expectations and tight timelines. 3. Person-Driven Operations: Operations may be driven by individuals rather than standardized processes, leading to inconsistencies. 4. Regulatory Changes: Healthcare authorities frequently update policies to prioritize patient care and quality. 5. Insurance Challenges: Overextended insurance companies may cause delays in payments or lead to unrecoverable debts. With over two decades of experience in the UAE and four decades in India, Micropro Software Solutions Limited is stepping up to offer value-added services that assist investors in: 1. Establishing Standard Operating Processes: We help set up systems to monitor revenue and profits across cost centers. 2. Designing 360° Monitoring & Control Systems: Comprehensive financial and process oversight to ensure efficiency. 3. Creating Internal Control Frameworks: We build robust frameworks for better governance. 4. Providing Risk Management & Monitoring Services: Our services help mitigate risks and ensure sustainable operations. We believe that scalability and operational efficiency stem from strong processes. By improving processes, you can achieve cost reduction, enhanced quality, and increased Patient satisfaction. INVESTORS & OWNERS: Build, Standardize, and Improve Your Business Processes for Long-Term Value. For more details: vashtikar@microproindia.com; +971567308505

When it comes to insurance and healthcare, every digit matters. That's why we prioritize data analytics, enabling us to uncover insights and drive impactful solutions. #LCTApp #Healthcare #DataAnalytics Get Started with LCT: bit.ly/3sWJDvR

In recent years, many industries, including supply chain, retail, warehousing, insurance, and health care, undergone a transformative journey with the integration of Electronic Data Interchange (EDI) systems. This cutting-edge technology has paved the way for enhanced efficiency, streamlined processes, and improved patient care. Let’s look at the latest trends in Electronic Data Interchange. 🔹 One of the key advancements in EDI is the adoption of standardized formats for data exchange. The use of standardized formats facilitates the smooth exchange of business documents. This not only reduces errors but also accelerates the pace of decision-making, ultimately leading to better business outcomes. 🔹 Interoperability is another constant trend in the realm of EDI. The ability of different systems and software to seamlessly communicate and share data is crucial for providing comprehensive and coordinated business operations. 🔹 Real-time data exchange is a game-changer in EDI. With the ability to transmit and receive data in real-time, partners can make informed decisions promptly. 🔹 Security and compliance remain top priorities in EDI. Advanced encryption techniques, secure data transmission protocols, and stringent authentication processes are being implemented to fortify the security of EDI systems. The latest trends in Electronic Data Interchange are reshaping the landscape of global business. Standardized formats, interoperability, real-time data exchange, and heightened security measures are contributing to a more efficient and client-oriented ecosystem. The potential for further advancements in EDI holds the promise of even greater improvements in customer care, administrative processes, and overall outcomes.

Hello Enterprenures :- Let's talk About RPA in Healthcare sector:- 1>Patient data migration and processing 2>Reporting for doctors 3> Medical bill processing 4> Insurance data automation 5> Insurance claim processing 6> Claim status and eligibility automation 7> Patient record storage LET'S CONNECT AND WE WILL HELP TO CUT YOR COST BY 70% #rpa #RobiticAutomation #Enterprenure #costcutting

Improved data management strategies are imperative for enhancing operational efficiency in an insurance company. Data analytics within the insurance sector aids insurers in navigating the intricate regulatory environment by furnishing them with tools to monitor and guarantee compliance with established standards. In this digital world, data plays a crucial role. Excessive data helps the company to know about the customer preferences and tries to fulfil them. Xceltrait can help you leverage the power of ServiceNow FSO and maximize its data models. FSO provides customized offerings for insurance companies, integrating data, enhancing staff skills, and enforcing compliance. To delve deeper into this topic, explore our latest blog: https://lnkd.in/gzgtgSS5 #DataAnalytics #DataManagement #Insurance #DataModels #DigitalTransformation