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| Project Experience |
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CareFirst BlueCross BlueShield |
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SBLI USA Mutual Life Insurance Company |
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BlueCross BlueShield of Minnesota |
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WebMD |
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EPAM Provider Information and Credentialing:
Automation of the Credentialing process for reduced cycles times, decreased costs and increased information re-use
Health insurers gain a competitive edge by maintaining successful relationships with
providers and by reducing costs. Historically, credentialing, recredentialing
and information updates have been a laborious, time consuming and expensive
processes. The paper based process combined with high levels of manual
information entry into multiple data stores is a typical bottleneck to improving
relations and reducing costs. EPAM Provider Information and Credentialing provides a complete
end-to-end solution for streamlining the credentialing process. From initial
request, web-based information submission, through to verification and approval,
EPAM Provider Information and Credentialing provides the process and workflow to meet your Process
Improvement objectives.
Key Benefits of EPAM Provider Information and Credentialing
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Provider Web Portal allows Web-based submission of
Credentialing and Change information from Providers |
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Document Routing Management reduces labor of routing documents
while the tracking abilities ensure files can be found quickly and easily |
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Call Management integration improves service by pre-screening applicants
and providing fast response to Provider inquiries |
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Workflow Engine with User In-boxes automates routing of tasks and workloads
while eliminating unnecessary manual communications |
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Business Automation allows for automated follow-ups to providers,
reducing response time and human effort |
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Open Systems Interface provides quick integration to external systems
including CAQH and critical internal systems including Claims, Provider
Directories, and others |
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Administrative Management allows you to configure business rules by
the business users, customize forms & documents and have complete reporting
abilities |
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