Healthcare

Speed up claims processing, reduce cost and improve member experience

Our approach

Skan for Healthcare

Join leading healthcare payors who are using Skan’s AI-powered Process Intelligence to drive operational excellence through standardization and automation, cost reductions by identifying and eliminating non-standard activities, and improving member experience by reducing errors and rework.

Plane

Drive Operational Excellence

Identify standardization and automation opportunities to boost productivity, and reduce variability, processing time and turnaround time.

Doller_Three_Round

Reduce Cost of Processing

Measure and analyze unit cost of processing, identify root-causes of effort, time and cost of processing, eliminate non-standard activities and reduce effort, time and cost of processing.

Three Color Start

Boost Member Experience

Gain a deep understanding of workforce productivity, process cycle time and application usage to reduce turnaround time, reduce errors and rework so that members spend less time waiting for claims to be resolved.

Skan for healthcare payors

Skan for Healthcare 

Leading Healthcare payors use Skan across critical business operations and use cases.

Sales, Customer Service and Corporate Functions

Sales, Customer Service & Corporate Functions

Speed up call center workflows, improve member experience and reduce cost.

  • Customer & new business acquisition
  • Customer call center operations
  • Shared services (AR, AP, invoice and transaction management)
  • Vendor Management

Enrollment & Billing

Enrollment & Billing

Optimize the member enrollment and billing process. 

  • Group Member Enrollment
  • Member Eligibility Check
  • Benefits Plan Management
  • Member Contracts
  • Billing & A/R
  • Payment Processing
  • Delinquency Management

Medical Care Management

Medical Care Management

Streamline care management processes to serve members more efficiently.

  • Case Management
  • Care Management (Appointments & Medication)
  • Patient Intake (assessments)

Claims Management

Claims Management

Speed up claims processing and reduce cost per claim.

  • Intake and First Pass
  • Evaluation & Adjudication
  • Denial Management
  • Appeals & Grievances
  • Fraud detection and resolution

Sales, Customer Service & Corporate Functions

Speed up call center workflows, improve member experience and reduce cost.

Business Use Cases
  • Customer & new business acquisition
  • Customer call center operations
  • Shared services (AR, AP, invoice and transaction management)
  • Vendor Management

Enrollment & Billing

Optimize the member enrollment and billing process. 

Business Use Cases
  • Group Member Enrollment
  • Member Eligibility Check
  • Benefits Plan Management
  • Member Contracts
  • Billing & A/R
  • Payment Processing
  • Delinquency Management

Medical Care Management

Streamline care management processes to serve members more efficiently.

Business Use Cases
  • Case Management
  • Care Management (Appointments & Medication)
  • Patient Intake (assessments)

Claims Management

Speed up claims processing and reduce cost per claim.

Business Use Cases
  • Intake and First Pass
  • Evaluation & Adjudication
  • Denial Management
  • Appeals & Grievances
  • Fraud detection and resolution

Business Value Metrics

Leading healthcare payors use Skan to drive better business outcomes

Three_Doller

$4M

cost savings through process optimization

F50 Healthcare Payer

20 %

process variability reduction

Leading Healthcare Payer

12 %

First Call Rate (FCR) increase

Healthcare Payer

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