GlanceClaim™ improves claims processing speed and prevents fraud & abuse

GlanceClaim™ pulls the necessary subscriber information, medical history, and received clinical information to intelligently determine pre-authorization eligibility, helping payers provide faster approvals. This saves administrative time and gets patients care when they need it.

GlanceClaim™ adjudication engine uses evidence-based guidelines to process 1600 claims per minute, greatly improving the claims adjudication process and reducing manual intervention and reviews.

This helps insurance companies cut administrative costs and improve customer experience of their subscribers.

Mitigate payouts for improper claims with GlanceClaim™'s intelligent provider reputation analytics. Every service, doctor and medical institution is assigned an integrity score enabling greater control over insurance payouts.

GlanceClaim™ IDF-based systems execute evidence-based reviews on prescriptions to ensure appropriateness of indications and help avoid medication duplication. The program allows the dispensing of only generic medications or substitutes.

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