With strong focus on business value, Mahindra Satyam features a domain-focused, technically competent team that addresses business problems. For years, Mahindra Satyam has provided solutions to several payers. The solutions are comprehensive, and cover all critical activities of the entire payer-spectrum:
- Eligibility and enrollment
- Billing and accounts receivables
- Membership administration and management
- Claims administration and management
- Reimbursement and accounts payable
- Claims audit and fraud detection
|
|
|
 |
Claims Solutions
- Claims processing
- Claims auto-adjudication
- High-value claims review systems
- Claims audit and fraud management
|
Corporate Clinical Data Management
- Admit and discharge systems
- Provider group partnership programs
- Corporate disease management
- Health element data information set
- Health information systems
- Member medical history
|
Case Management Systems
- Electronic claim system interface
- Referral/authorization interface
- Medical review tracking
- Patient/provider letters
|
Referral/ Authorization
-
Plan and member database integration
- Web-enabled systems request
- Referral printing and access
|
Inquiry Systems
-
Provider and account eligibility access
- Provider claim access
- Patient status systems
|
Sales and Agency Management
- Agency management systems
- Agency commission systems
- Eligibility and enrollment systems
|
Financial Systems
- Loss reporting and management
- Accounts payable and receivables
- Billing systems
|
|
|