Explore the options and strategies in using smart analytics by operations organizations.
Operations organizations at payers are struggling to answer some of these questions every month, quarter or year:
What capacity do we need in our mailroom and data entry centers for open enrollment?
Do we have enough call center agents to answer calls for a particular product next week – have we considered all the claim denials over the last one month?
Are we doing efficient pre-pay claims audit by considering error trends, seasonality as well as provider profiles?
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