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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

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.

Description

symplr's provider credentialing software serves as a comprehensive solution for managing provider data, effectively reducing turnaround times and streamlining revenue cycles, all while ensuring that patient safety remains a top priority. This software simplifies the processes of data collection, secure access, reporting, and maintaining ongoing compliance, making it easier for providers, credentialing teams, and internal approval committees to manage their responsibilities. Users have experienced a significant 20% decrease in the time it takes to complete credentialing, with a remarkable 50% drop in the frequency of committee review meetings. By utilizing this automated and intuitive platform, organizations can efficiently collect, verify, store, and share vital provider lifecycle information and documentation in one centralized location, leading to both time savings and cost reductions. Additionally, the software includes a payer enrollment module that facilitates the enrollment of providers with payers, allowing for easy tracking of applications throughout the reimbursement process. With advanced automation capabilities, it gathers data from numerous primary sources and conducts automatic checks for expired or suspended licenses, as well as verifying against databases such as NPDB, DEA, and SAM, thus enhancing the overall efficiency and reliability of the credentialing process. Ultimately, symplr’s software transforms the way healthcare organizations handle provider credentialing, making it a crucial tool in the industry.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

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 

Pricing Details

No price information available.
Free Trial No 
Free Version 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 

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 No 
Live Rep (24/7) No 
Online Support No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

MDI NetworX

Founded

2014

Country

United States

Website

insightpro.ai/

Vendor Details

Company Name

symplr

Country

United States

Website

www.symplr.com/products/symplr-provider

Alternatives

No Alternatives

Alternatives

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