Avia Logo
Avia Logo
Avia Logo

Products /

CliniAid | COVID-19 Claim Automation

CliniAid | COVID-19 Claim Automation

CliniAid | COVID-19 Claim Automation

By i3systems

0 review

Contact

Overview


Select which hospital or health system you work at and see a personalized match score.
About

DESCRIPTION

None provided

PRODUCT ATTRIBUTES
badge_covid-19

COVID-19


badge_pediatric

Pediatric


CLIENTS OVERVIEW
Key Clients
Clients Your Size
USED BY
0 People
0 Organizations
EHR integration

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

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.

Read more
Use cases

Description

Claim Automation for Covid-19 Cases

COVID-19 use cases:

Challenges:



  • Due to the uncertainty, COVID-19 claims are 3-times higher than average claims
  • COVID-19 claims need 70-100% more average handling time (AHT) than usual claims.
  • COVID-19 has overwhelmed the healthcare industry making it extremely difficult to manage customer expectations.
  • Huge variations in treatment depending on comorbid conditions, severity of the condition & cost.

Solution through 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.
  • 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.
  • The solution is highly scalable and can accommodate a sudden rise in the number of claims with relative ease.
  • 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.


Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs



Differentiators

Differentiators vs Internal Options:

None provided

Differentiators vs Competitors:

None provided

Company information

Founded in 2016

2.5M total equity funding

About AVIA Connect

AVIA Connect helps healthcare providers make better digital health vendor selections. Our AVIA Connect Marketplace enables digitally focused healthcare providers to search thousands of vendor profiles and match with vendors that meet their requirements.

AVIA Connect is a product of AVIA, the nation's leading digital transformation partner for healthcare organizations.

Stay up to date

Keep up with the latest products and trends in digital health.


©2022 AVIA — All rights reserved  |  Privacy Policy