Healthcare Payor Solutions

Uncover gaps. Optimize processes. Deliver member value.

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Member expectations are rising—seamless service, proactive engagement, and personalized care. Celonis helps you stay ahead with an AI-powered, interactive digital twin of your processes to elevate the member experience.

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Deliver member services seamlessly

Drive member loyalty through exceptional service and experiences

Drive efficiency in claims operations

Process claims timely, accurately, and cost-effectively

Ensure resilience in finance

Maximize revenue capture and accelerate cash flow

Proven results with industry-leading customers:

Top US-based Payor

10%

Identified improvement in automating claims processing

Fortune 500 Multi-State Payor

$5.2M

Estimated savings from claims adjudication solutions

State Medicaid Payor

508K

Identified reduction in claim pends through automation

Healthcare Payors use Celonis Process Intelligence to:

Drive member loyalty through exceptional service and experiences

Reduce wait times and minimize follow-up calls or escalations from members

Accelerate enrollment for new members and disenrollment for former members

Streamline processes and workflows across multiple member communication channels

Process claims timely, accurately, and cost-effectively

Minimize multiple touches and rework to improve claims processing time and accuracy

Intelligently assign claims for review based on complexity, age, amount, and type

Adhere to prompt payment laws and reduce late payment interest

Maximize revenue capture and accelerate cash flow

Optimize premium billing and collection processes across all lines of business

Streamline payment processes to providers and vendors

Ensure all financial activities and reporting comply with federal, state, and local regulations

Ready to learn more?

Get the latest insights about Celonis for healthcare payors here:

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