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Payor challenges in healthcare

Payors own the key position in making the required care available for each patient. Challenges like these make their service delivery difficult

IT/systems integration

Audit and compliance

Proactive health management

Medical loss ratio

Metrics and SLA

Aligning incentives with
healthcare providers

Solutions we offer

Medtivist offers a timely & stress-free environment for you to process easier. We come up with solutions to balance cost & quality of care while guaranteeing to invest the least amount of money. Our interoperability solutions provide perfect connections that ease your communication with providers

Collaborative care management

  • Manage collaborative care with our cloud-based solutions
  • Tending to a particular population fitting their specific requirements is tricky, but not with us
  • Our smart cloud-based EHR system provides world-class interoperability that tracks data and manages claims across networks without compromising care quality
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Provider network management

  • Increase your operational efficiency with Medtivist health-tech solutions by collecting data from across the healthcare continuum
  • We facilitate single-window access for data, concerning health plans, regulatory compliance, fee schedules, and more
  • Automate with us your daily tasks to save your precious time and money

Data analytics and dashboard solutions

  • Medtivist have the world’s leading electronic medical records (EMRs) and practice management solutions
  • Our advanced data analytics and dashboard solutions possess powerful analytics tools that help clients to make timely decisions
  • Easily track your performance and achieve effectiveness
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Developing an FHIR-based automation engine

One of the largest TPAs in the USA provides operational services like claims processing for all the major health insurance companies in the US. Achieving efficiency and cost reduction were the major challenges among others for them

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Increased clients by breaking constraints with deductibles, co-pays, co-insurance, and more
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Enhanced the understanding of the process perspective, business domain, and core concepts by 40%
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Achieved efficiency under budget. Revenue & functionalities increased with a fully functional FHIR-based automation engine
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Clinical decision support

  • We help you take the right decisions at the right time
  • Medtivist Clinical Decision Support is integrated into an EHR help payors to make relevant, pragmatic, and evidence-based decisions leading to faster care
  • CDS provides solutions and quickens progress to improve payor experiences

Simplifying billing hurdle

  • Allocate resources, follow-up bills, and record notes easily with our integrated smart solutions
  • Medtivist being the leading health-tech service provider possesses unique tools to derive optimum efficiency
  • We bring in the latest technology and innovatively untangle and solve medical billing challenges
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Medical claims management

  • Being a crucial and difficult process in medical claims & billing, Medical claims management needs all hands on deck
  • By scrutinizing the reasons through a well-planned & successful strategy, we significantly lower the denial rates of our clients
  • We provide solutions to manage health administration, easy billing, payment ethics, medical management, and what not

Empower your practice be future ready at every stage

Are you interested? Connect us today!

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