Focused on the business imperatives and workflow based on consolidated requests.
The client is a leading healthcare product company, specialized in Care Management, Pre-authorization, Population health and ACO. Their portfolio consists of multiple products that are sold in modules or packaged solutions. As a key partner with the nation’s leading health plan and risk bearing provider, it assists the provider to optimize personalized delivery of predictive and prescriptive decision support for clinicians, physicians, consumers and caregivers.
The company offers services in managing registration & enrollment of health plans to health providers or their clients. Registration and enrollment workflow supported by the customer’s team varied for each end-user clients. The support team managed enrollment requests of large data volumes received by multiple channels such as Fax, Jira tickets, phone calls and claim information files. The current workflow managed by end providers and customer, was predominantly a manual driven process and was impacting services such as - SLA’s, accumulated requests and end client satisfaction ratings.
EVRY focused on the business imperatives and understood the actual provider enrollment and registration process. Our team analyzed the business requirements and obtained clarity on SLA’s agreed between the provider and end users. Based on the workflow analysis and business needs, EVRY designed a solution blueprint that automated pieces of the provider enrollment and registration workflows. Our subject matter experts presented the blueprint to the stakeholders for verification and acceptance of the solution.
We implemented the following features: