Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Garner offers a comprehensive platform that harnesses extensive data to assist individuals, employers, and health plans in pinpointing the best medical providers, utilizing one of the largest claims databases in the country, which comprises over 60 billion records from more than 320 million patients. This platform employs over 500 metrics specific to various specialties to evaluate provider performance and determine patient outcomes effectively, supported by an AI-enhanced directory that boasts around 92% accuracy for details such as provider contact information and appointment availability. Providers who are designated as “Top Providers” adhere to strict standards, emphasizing evidence-based practices, the reduction of unnecessary medical procedures, and the maintenance of cost efficiency. Additionally, members have access to both a mobile app and a concierge service that facilitate the identification of in-network Top Providers with upcoming appointments, and they may be reimbursed for certain out-of-pocket expenses for services provided by these top-tier professionals. Furthermore, this innovative platform not only streamlines the process of finding quality healthcare but also aims to improve overall patient satisfaction and outcomes through its meticulously curated resources.
Description
InsightPro is an online platform designed for workforce analytics and operations specifically aimed at health insurance payers, third-party administrators, benefit administrators, and health plans. It facilitates claims management, quality assurance, and support for member contact-center teams. The claims functionalities encompass inventory tracking, task allocation and distribution, production planning, forecasting, KPI dashboards, activity surveillance, and query resolution capabilities. Quality assurance teams are equipped with tools for configurable audits, sampling, capacity planning, error feedback mechanisms, rebuttal workflows, and performance reporting options. The platform's contact-center capabilities include access to member and call-history views, adjustable workflows, real-time insights, and performance analytics. Additionally, workforce dashboards enable managers to oversee productivity, workload, quality, and operational trends, while administrative features aid in user and workflow management. As a SaaS solution, this platform is customizable to meet the unique operational needs of payers, with pricing and plan scope tailored according to customer specifications, ensuring flexibility and adaptability in service delivery. This comprehensive suite of features empowers organizations to enhance their operational efficiency and improve overall service quality.
API Access
Has API
Yes
API Access
Has API
Yes
Integrations
No details available.
Integrations
No details available.
Pricing Details
Free
Free Trial
No
Free Version
Yes
Pricing Details
Flexible payment options include monthly plans and pay-per-transaction billing. SaaS pricing is tailored to selected features and customer requirements; no long-term commitment is required.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
Yes
iPad App
Yes
Android App
Yes
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
No
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Garner
Country
United States
Website
www.getgarner.com
Vendor Details
Company Name
MDI NetworX
Founded
2014
Country
United States
Website
insightpro.ai/
Product Features
Benefits Administration
COBRA Administration
No
Claims Management
No
Deduction Management
No
Disability Insurance Administration
No
Employee Benefits Administration
No
FMLA Administration
No
FSA Administration
No
Flexible Spending Accounts
No
For Brokers
No
For Employers
No
HIPAA Compliant
No
Health Insurance Administration
No
Life Insurance Administration
No
Online Benefits Enrollment
No
Premium Billing
No
Provider Management
No
Retiree Administration
No
Retirement Plan Management
No
Product Features
Alternatives
Alternatives
No Alternatives