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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
i3Claim
i3Claim

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Categories

Solutions

Description

Product Description:

Adonis Eligibility Verification automatically pulls your upcoming appointment data and checks eligibility both immediately upon scheduling as well as 2 days before the upcoming patient visit. Patients that do not have active coverage are flagged for admin staff to triage–either collecting updated insurance information or payment from the patient at the time of visit. Front desk staff is also able to manually look up eligibility for any patient, immediately determining active coverage and schedule of benefits. 

About Adonis:

Adonis fosters unparalleled revenue outcomes that improve efficiency, reduce costs, and increase revenue. Our partnerships are forged in the commitment to long-term financial success. Whether you're a provider with an internal billing team or you outsource your RCM operation, we're prepared to meet you where you are to improve your billing and collections outcomes.

Product Description:

i3Claim: End to end Claims Processing Automation solution

With increasing complexities and evolving consumer demands, digitisation of the claims process has become essential for insurers to ensure fast settlement & payment of claims as well as drive customer satisfaction and set standards of service.

However, traditional claims processes involve intensive document-driven operations and the processing of non-structured data in multiple formats/nomenclature, making it difficult for insurers to process claims efficiently and quickly.

i3claim helps in capturing significantly more data-points in much lesser handling time. It reduces the extent of manual data capture and human errors in the entire claims process by more than 60%, making it much faster and extremely scalable.

i3claim accepts data input from a variety of sources like Hospitals, Pharmacies and Diagnostic centres. It extracts, classifies, and standardizes non-structured data present across multiple documents.

i3claim reduces the claims process to a single queue, by automating several parallel activities. This improves efficiency and leads to a reduction in cashless discharge time from 4 hours to less than 30 minutes for 90% of the cases. AI-assisted processing covers accurate capture of Non-payable and tariff comparison on 60% of the line-items. This has led to an average of USD 200-5000 savings per claim compared to manual processing.

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.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Eligibility verification must be completed before every patient visit, ideally at the time of scheduling as well as 48 hours before the appointment. Manually doing these checks are time consuming and error-prone, leading to billing issues downstream and creating a negative patient experience. Adonis Eligibility Verification removes this friction, improving net collection rate through reduced downstream denials and improving the patient experience by enabling timely intervention from the front desk staff. 

Pediatric use cases:

Adonis' Eligibility Verification can be used across many specialty areas, including pediatrics.

Users:

Front Desk Staff, Revenue Cycle Management Team

Description:

End to end Healthcare and Life Insurance Claims processing automation solution.

Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Behavioral health

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

athena, Athenahealth, NextGen, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
  • Appointment integrations
  • Automated review
  • Machine learning
  • Intuitive user interface

Differentiators vs Competitors:
  • Appointment integrations
  • Automated review
  • Intuitive user interface
  • Industry-leading accuracy
  • Extensive payer coverage
  • Unparalleled support

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

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Company Details

Founded in 2016

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