Payers

Payers organization success directly relates to timeliness and effectiveness of external and internal communications. The predominate expense tend to be administrative burdens of managing disparate communications processes with the care delivery organization's extended contact points.

Leveraging our collaboration platform, Covisint accelerates workflows by delivering an automated system for collaborative business processes. Users have realized streamlined administration, enhanced customer service and improved time-to-market as you improve relationships with providers, employers, groups and members.

Solutions:

• Trusted Identity Broker
  A solution for managing the federation of user identities across a health plans security domains. This allows users to login locally at their plan domain, and select from a variety of external services that are all accessible without requiring a secondary login.
  
  
• Virtual Fax Services
  Provides a single, internet-based solution to receive, review, route and respond to fax communications, while reducing paper usage and costs.
  
  
• Utilization Review and Prior Authorizations
  Manage utilization review communications and prior authorizations requests and approvals -- supporting clinical documentation included when needed.
  
  
• Physician and Clinician Signature Collection
  Enable efficient collection of paper-based or electronic signatures from physicians and other healthcare providers-- improving oversight and eliminating administrative burdens.
  
  
• Credentialing
  A paperless solution for managing credentialing information requests and responses between providers and payers.
  
  
• Internal Communications for Payers
  Enable paper-free internal communications and claim adjudications with complete accountability and oversight.
  
  
• Provider Correspondence
  Improve communication methods between providers and payers through a centralized environment.
  
  
• Claims Attachments
  Enable efficient communications where providers and payers securely exchange claims attachments requests and responses, increasing revenue cycle capture time.