Features & Benefits

Automated Processing:

Modern claim adjudication systems utilize automation and digital tools to streamline claim processing. This includes automated data entry, coding, and decision-making based on predefined rules and algorithms.

Integration with Data Sources:

Claim adjudication systems are integrated with various data sources, including patient records, policy details, provider contracts, and regulatory information. This integration ensures accurate and comprehensive assessment of claims.

Efficiency and cost savings:

Automated claim adjudication reduces manual processing efforts, leading to faster turnaround times and lower administrative costs for insurance companies and healthcare providers.

Enhanced fraud detection:

Advanced claim adjudication platforms incorporate fraud detection algorithms to identify suspicious patterns and behaviours, helping prevent fraudulent claims and mitigating financial losses.

Transparency and accountability:

Transparent claim adjudication processes instil trust among policyholders and healthcare providers, fostering positive relationships and reducing complaints or grievances.

Insights

CAMUNDA: An Extensive Synopsis and Evaluation in Relation to Other Digital Process Automation Technologies

In today's swiftly evolving digital era, business process automation is critical for enterprises to improve their operations, reduce costs, and accelerate time-to-market. Camunda, a modern, developer-friendly workflow and decision automation platform, has carved out a name for itself by providing robust functionality, and has emerged as a leading platform in
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Modernizing Healthcare Facility Inspections through aHawkAI : The New Normal

Today, as the healthcare industry is fast-paced and under multiple layers of regulations, management of inspection is important. They serve as a great tool in the achievement of safety, quality and compliance objectives. aHawkAI has helped to come up with solutions that dramatically transform the ways inspection processes are conducted
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Application Mining, Digging for Digital Gold!

Everyone got an old treasure chest sitting in the basement, dusty, clunky, and nearly impossible to move. There’s lot of valuable stuff in there, but without the right tools, it is nothing but a relic. A legacy system is just like such chest. Even though it’s been serving faithfully for
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News & Events

Aaseya Expands Global Partnership with OutSystems into Australia & New Zealand

Aaseya, a global professional services provider and distinguished Pega Global Elite Partner specializing in low-code and digital process automation, has been honored with the esteemed “Delivery Excellence Award” from Pega at PegaWorld iNspire 2024, the annual conference of Pegasystems. The award recognizes Aaseya’s exceptional achievements in driving successful client outcomes by leveraging cutting-edge technologies to address complex challenges.

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Aaseya Wins Prestigious Delivery Excellence Award from Pega

Aaseya, a global professional services provider and distinguished Pega Global Elite Partner specializing in low-code and digital process automation, has been honored with the esteemed “Delivery Excellence Award” from Pega at PegaWorld iNspire 2024, the annual conference of Pegasystems. The award recognizes Aaseya’s exceptional achievements in driving successful client outcomes by leveraging cutting-edge technologies to address complex challenges.

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Aaseya Sets the Stage as Platinum Sponsor at PegaWorld® iNspire 2024

The Aaseya Inspection Solution (AIS) particularly highlights Aaseya’s capabilities in adapting swiftly to changing regulations and maintaining high standards of quality and efficiency.

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