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

Inspection for Parks, Events, and other Recreational Places

We all know visiting and spending time in parks, local events, and other recreational places can help us reduce stress by up to 50%. These places are not only for fun but also to relax, connect with others, and enjoy the beauty of nature. But do you know how to
Read More

aHawkAI - Empowering Inspectors

Inspectors play a critical role in various industries, to perform an efficient and error free inspection. Inspectors are the backbone of any Inspection, they ensure that the processes, products and services meet the regulatory standards and maintain high quality. Starting from planning implementation of an Inspection till capturing the relevant
Read More

The interplay between Inspections and larger compliance systems: Audits, Investigations, Predictive Maintenance, Permits

- A Path to Enhanced Organizational Efficiency The rapidly evolving regulatory landscape globally necessitates organizations to build robust systems, which can enable them to remain compliant with a wide array of regulations and standards. Among these, Inspections systems are of paramount importance, serving the two-pronged objectives of a) undertaking preventive
Read More
See All

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.

Read More

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.

Read More

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.

Read More
See All