Case Study

Workflow-driven portal solution for Case Managers, Providers and TPA's Coordinators

Workflow-driven portal solution for Case Managers, Providers and TPA's Coordinators

Pages 2 Pages

Our client, a health payer affiliated Third Party Administrator (TPA) recognized an oncoming shift in how all its stakeholders, case managers, providers and the TPA’s coordinators could improve their efficiencies and effectiveness. The client sought a workflow based portal that would provide all stakeholders valua- ble insights into the process, improve outcomes by using templates for evidence based treatment plans and save healthcare claims costs. The solution was targeted as a paradigm shift to provide the TPA a competitive advantage. The various stakeholders, Case managers of Insurance Carriers, Providers and the TPA’s coordinators did not have a unified view into the treatment process. This was accentuated with inconsistencies in scheduling appointments, selection

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