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INTELLIGENCE FOR TOMORROW’S HEALTHCARE INSURANCE

Intelligence for tomorrow’s healthcare insurance

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Page 1: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW’S HEALTHCARE INSURANCE

Page 2: Intelligence for tomorrow’s healthcare insurance

IntelliPayer is a next generation healthcare payer analytics

solution framework that empowers healthcare payers with a

customizable and powerful member, product, plan, claims

management with its real time and predictive analytics on

mobile and cloud platform.

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 3: Intelligence for tomorrow’s healthcare insurance

With IntelliPayer You Can:

• Combine clinical data and administrative data to address critical business challenges

• Develop sustainable provider and consumer engagement

• Deliver insights on claims processing, trend analysis and adjustments to enable effective claims management and monitoring

• Increase member satisfaction, customer growth and retention

• Prevent healthcare fraud

• Increase transparent provider relationships and improve network performance, value-based contracts and claims life cycle

• Provide the data analytics to drive targeted member communications

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 4: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW’S HEALTHCARE INSURANCE

CLAIM FRAUD RISK MEMBER PROVIDER

Page 5: Intelligence for tomorrow’s healthcare insurance

INTELLIPAYER CLAIM

• REDUCE MEDICAL COSTS

• INCREASE MEMBER SATISFACTION

• FOSTER TRANSPARENCY

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 6: Intelligence for tomorrow’s healthcare insurance

INTELLIPAYER FRAUD

• DETECT HEALTHCARE FRAUD

• PREVENT HEALTHCARE FRAUD

• PREDICT HEALTHCARE FRAUD

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 7: Intelligence for tomorrow’s healthcare insurance

INTELLIPAYER RISK

• UNDERSTAND HEALTHCARE INSURANCE RISKS

• ANALYZE HEALTHCARE INSURANCE RISKS

• MITIGATE HEALTHCARE INSURANCE RISKS

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 8: Intelligence for tomorrow’s healthcare insurance

INTELLIPAYER MEMBER

• KNOW YOUR MEMBERS BETTER

• ENGAGE YOUR MEMBERS BETTER

• BRING NEW MEMBERS FASTER

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 9: Intelligence for tomorrow’s healthcare insurance

INTELLIPAYER PROVIDER

• KNOW YOUR PROVIDERS FASTER

• PARTNER WITH YOUR PROVIDER

• SAVE COST DRASTICALLY

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 10: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 11: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 12: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 13: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health

Page 14: Intelligence for tomorrow’s healthcare insurance

INTELLIGENCE FOR TOMORROW'S HEALTHCARE INSURANCE

Copyright 2016 @ Scalable Health