In overall terms, CGM CLAIMER ECP is a highly advanced claim management solution that helps health payers and health providers to work in a closely coordinated and aligned way as they pursue the common goal of saving process expenses by optimizing overlapping intercompany workflows.
Advantages for health payers:
- Decrease your claim amount significantly.
- Optimize human resources committed to claim management.
- Increase operational claim management efficiency.
- Generate a decision-support system that is based on a collection of detailed structured and classified data.
Profits for healthcare providers:
- Increase the speed of your payments collection by minimization of bill rejections.
- Avoid the unnecessary recruitment of additional staff by integrating your data workflow to your Hospital Information System.
- Decrease your workload and paperwork by transmitting bills and relevant attachments electronically.
- Speed up your overall claim authorization processes – and make them more effective.
- Benefit from receiving authorization from multiple health payers through the same screen thanks to data integration.
Benefits for policyholders:
- Increased speed and error-aversive authorization will result in higher levels of satisfaction.
- Accurate and effective claim management with low claim/premium ratio.
- More reasonable renewal premiums due to low claim/premium ratio.