Healthcare providers

Healthcare Solution Providers

We work with health plans, hospital systems, TPAs, MSOs, FMOs, and other solution providers.

How can we help you?

We customize solutions for your needs. Here's an example of how we've scaled operations for Physician Liaisons at health plans, hospital systems, and TPAs.

Lead Development and Mapping App for MSO

>250%
Increase in new provider contracts in first year

Goal

Double PCP network to increase membership

Solution

Built GIS-enabled application integrated with Salesforce to help prospect, recruit and track physician liaison performance.

Results

Delivered application on time, adoption of all internal users, >250% increase in new provider contracts in first year.

Provider Portal for TPA

95%
Reduction in phone calls and email inquiries 400% improvement in past due payments

Goal

Reduce ever-increasing call and email volume of providers making inquiries for claims and payments and decrease the number of past due claims payments.

Solution

Custom, web-based provider portal syncing with EHR.

Results

95% reduction in phone calls and email inquiries resulting in reallocation of employees to higher value tasks and increased provider satisfaction. Past due payments improved from 25% to less than 6%.

Broker/Agent Portal for Health Plan

400+
Electronic member applications during open enrollment

Goal

Increase membership through more efficient agent management system.

Solution

Delivered agent certification, training, and electronic member application in time for open enrollment.

Results

All agents electronically certified, 405 electronic member applications during OE and expanded agent network by 202 agents.

Commission Module for Health Plan

35 to 10
Reduced agent commission processing time from 35 days to 10 days

Goal

Improve commission accuracy, timeliness, and deliverability to improve independent agent satisfaction.

Solution

Delivered custom commission system in 3 months, fixed erroneous legacy data, integrated a 3rd party system, and fully deployed within 3 months.

Results

Reduced completion time from 35 days to 10 days, reduced staff burden from 80 hours per month to 8-12 hours, reduced error rate from high single digits to less than 1%, and increased broker/agent confidence in commission payments.