Covisint

Health Plans

Health plans 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 streamlines and 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:

  • On-demand Security and Privacy
    A solution for managing 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 Health Plans
    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 health plans securely exchange claims attachments requests and responses, increasing revenue cycle capture time.

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