Firstsource - Claims Operation Quality central
Claims operations - QA Inventory
Firstsource Claims Operation Quality central app Supervisor/Quality Manger Dashboard to Proactively Address claims that with propensity to get adjudicated incorrectly, resulting in Adjustments, Appeals based on past claims in the process.High Risk claims to be Audited.
This is where FIrstsource and Celonis Combine their Strengths:
Reduction in Interest payment and Penalty.
Ontime Accurate payment.
Improvement in Provider and Member Satisfaction.
Features & Capabilities
QA Dashboard with key Metrics applicable for performing Audit function. Total claims /Inventory, Total Claim $ Amount Prioritizations: High Risk , Medium Risk Productivity Target, Claim sub type , Input method , Provider Specialty
Profile view of claim with Claim specific details
(1) Claim Age
(2) Claim type
(3) priority
(4) procedure code
(5) Diagnosis Code to review the Claim level data
Contact the Partner
Fill out the form and an Expert from the Partner will contact you to help you get started with this Execution App. Please note that your data will therefore be forwarded to the Partner mentioned on this website.