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Categories
Solutions
Description
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Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Wellsheet
Wellsheet

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Categories

Solutions

Description

Product Description:

CliniAid: Approve COVID-19 discharge Claim in 30 Minutes

The COVID-19 pandemic has transformed the healthcare industry. Insurers are finding it difficult to process the COVID-19 claims on time resulting in delays in the discharge process. This has accelerated the need for intelligent automation solutions to reduce the overhead of claims adjudicators and ensure faster & accurate claims.

i3systems' CliniAId is an Intelligent Automation solution that enables insurers and TPAs to approve COVID-19 claims in 30 minutes by automating financial and medical adjudication. The solution is equipped with components to manage the overall claims process from accurate data ingestion to authorization and approval

Features of using CliniAid:

  • CliniAId helps in handling an unexpected increase in the number of claims by automating medical adjudication and being equipped to manage the end-to-end claims process.
  • CliniAid can extract medical data in claim documents to identify relevant details such as symptoms, diagnosis, treatment or procedures, medicines, etc. to help the medical officer check the medical admissibility of the case
  • Using CliniAId-coded medical data and clinical rules prepared by Claim officers, the system can automatically validate the claim to achieve auto-adjudication of certain claim types which substantially reduces the AHT.

About i3systems:
i3systems is a healthcare machine learning product company, with a particular focus on the insurance clients. Our system can work on a variety of documents and unstructured data-sets to create an extremely high-quality data essential in predictive modeling, process automation, and decision making. The company has created unique frameworks which blend computational linguistics, machine learning / AI models, image processing, NLP, quality-control rule engines, interactive interfaces; in order to solve a wide variety of problems associated with Underwriting and Claims decision making in health and life insurance companies. Company's products i3claim, DataMD, DigiTariff and TBots perform process-automation, straight-through-processing with zero manual-touch-points, fraud detection, and Multi-dimensional risk stratification in Claims, Underwriting, Tariff digitization processes. We are Leaders in Health Insurance market today because of our innovative platforms and commercial structure. We have proven our capabilities across large enterprise clients in India and Globally helping the likes of AXA Gulf, Bajaj Allianz, ICICI Lombard, Healthcare TPAs, etc. achieve: • Over 50% reduction in operational costs, • Our AI/NLP based models help in achieving more than 90% accuracy, • 70% decrease in processing time, • 300% improvement in skilled FTE productivity, • 90% reduction in leakages due to insufficient data and capture errors, • With 0% compromise on information security.
Product Description:
Deployments of Wellsheet have resulted in as much as a 40% efficiency improvement for physician users. Providers use Wellsheet in conjunction with Epic to accelerate chart review and inform clinical decision making. Wellsheet is accessible through Hyperspace and any browser or mobile device. The value Wellsheet brings is three-fold: Physician Experience: Wellsheet reduces burnout by surfacing relevant patient medical history, clinical practice guidelines, and risk scores based on physician specialty and past practice patterns. Care Team Efficiency: Wellsheet helps reduce bottlenecks that result in increased length of stay by supporting team-based care coordination and discharge planning. Care Quality: Wellsheet aligns patient information with criteria for both standard of care procedures and clinical trials to highlight potential next steps in treatment for physician users to evaluate.
About Wellsheet Inc.:
Wellsheet organizes clinical information with machine learning to predict and visualize the most relevant information for patient care in a physician-friendly format within the existing EHR (Electronic Health Record). By allowing providers to arrive at clinical insights faster, Wellsheet improves early intervention and hospital efficiency, with proven impact in a 10,000 physician health system in NJ. Wellsheet has partnered with major EHR vendors including Epic and Cerner to distribute the Wellsheet product through SaaS-based model for health system customers.

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Clients

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Use Cases

Description:

Claim Automation for Covid-19 Cases

Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs



Description:

None provided

Pediatric use cases:

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Users:

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EHR Integrations

Integrations:

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EMR Integration & Relevant Hardware:

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Integrations:

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EMRs Supported:

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Client Types

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Differentiators

Differentiators vs EHR Functionality:

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Differentiators vs EHR Functionality:

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Keywords

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Company Details

Founded in 2016

Founded in 2015

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