How an All-in-One System Supports a Healthcare Payers Needs

In today’s time, digital transformation has proved to be the catalyst of advancements in businesses. Many different industries are switching gears and taking processes online to cater to the increasing change in demands. In fact, a report published by the World Economic Forum suggested that embracing new technologies and rapidly transforming enterprises will set companies on course for success. Inevitably, the demonstrable benefits of these technologies supports greater adoption, and failure to invest in them will be fatal for many firms’ long-term prospects. 


The rise in technological innovation has steered companies in the right route; towards digitalization. It is no surprise that more and more organizations in the healthcare industry are starting to integrate systems to better provide their services. Seeing how healthcare payer businesses run complex operations, it is critical to utilize a comprehensive platform and find the best one in the market.

Processing Healthcare Payer Services Manually Brings You at a Disadvantage

Too many drawbacks can come from healthcare payer organizations who fail to reinforce technologies that are made to support them and their services. Besides the obvious that their business operations and management suffers, whole other aspects concerning security, space, accessibility, and cost are also being put on the line. 


Bears risks in data theft and breaches

Unlike a heavily encrypted electronic system that is also guarded with a strong password, physical documents have poor security. An unauthorized person can easily get their hands on confidential information, posing a threat to data theft and breaches.


Takes up too much time and space

Manually managing claims is a time-consuming process. Volumes of claims take more than an hour to finish. In addition to that, handling claims in bulk leaves you with very little storage space, making it difficult to sort and move these documents from one place to another.


Gives zero flexibility in data changes

Documents that need to be edited require the original copy to be duplicated. It is not only a waste of resources, but it also makes a simple task more complicated.


Doubles the overall cost

Every resource you spend for documentation and record-keeping amounts to more expenditures than you can imagine. It is not practical to keep a manual management system if there is a better option that you can choose.


New technologies are created to make processes easier and convenient. That is why a centralized healthcare payer system, like the QuickCap 7 software must be introduced in payer organizations’ operations. QuickCap 7 provides an inventive solution to a recurring problem with manual processes and improves service quality and delivery.

How can You Leverage an All-in-One System in Your Operation?

A claims management system, just like the QuickCap 7 software, is a comprehensive claims processing platform designed to accommodate different claims types in one place. When you have a system like this, you can effectively manage claims, capture information, record file activity, access reports and correspondences, and do more with respect to claims, including the following:



  • Store and handle volumes of claims with more accuracy in an expandable repository facility.
  • Export claims data and reports and download them to your computer system. 
  • Review claims status and other details that you wish to know.
  • Secure sensitive, personal, and financial data by filtering and giving access rights only to authorized personnel.
  • Automate claim management processes to eliminate laborious procedures, reduce administrative duties, and regulate human-caused discrepancies.
  • Ensure increase in productivity.

 

Managing claims manually is not as efficient as it used to be. Payer companies are at risk of falling behind if they stick with the old, traditional ways. However, with reliable software like QuickCap 7, they can still get back on track and have the flexibility, security, and accessibility that they need to succeed.

The QuickCap 7 Software, a Leading-Edge Web Application Your Organization Needs

Nowadays, no businesses can thrive without integrating new technologies into their processes. Many testimonies swore by the value of a single software and what it can contribute to growth and profitability. QuickCap 7 continues to live up to that same expectation, providing solutions to healthcare payer organizations and help simplify workflows with built-in systems that feature top-of-the-line functionalities like the following: 


  • Automate adjudication for bulk claims, know the status of processed claims, and access and export different claims reports.
  • Process submitted authorizations and referral and review processed authorizations in detail.
  • Manage payment processing, review unpaid claims, and identify which claims are paid for the check run.
  • Calculate and pay the agreed PCP and specialty capitation based on the category tables, rate sets, schedules, rate assignments, and processing setup.
  • Configure the specifics of provider payment according to the provider contract.


The QuickCap 7 software remains ahead of the curve in technology and solutions that guarantee an increase in productivity, accurate claims decisions, improve service delivery, and finished backlogs.



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