A solution that enables health plans to reduce enrolment cost and increase efficiency. We have high-end technical and functional expertise to assist payer organizations in their e-enrolment initiatives.

Our experience and expertise in the rating and underwriting assists the health plans in managing denials, exclusions, preexisting conditions and premium calculation for the members.

Unique Integrated Policy Management Framework that helps payer organizations manage the entire policy lifecycle. The service delivers enhanced customer satisfaction by reducing policy processing time.

Deals not just with the premium requests but also links them to accounts receivable. From front-end process improvements to claims submission and collections, we can provide the expertise needed to ensure that revenue cycle processes run efficiently. Some of the benefits from Billing & Collection include: Improved patient satisfaction, timely reimbursement, stable A/R, and optimal cash flow.

Enables the payer organization to manage the claims lifecycle from provider submission to claims re-adjudication.

Benefits Validation is the triggering point in the payer revenue cycle beginning with the verification and validation of patient’s insurance information either through manual or automated process. We can help with the automation of manual benefit validation process. We can facilitate an integrated platform for communication with the providers, members and internal processing staff streamlining the complex business processes.

Helps large payer organizations in streamlining their pharmacy and pharmacy benefits processes. We specialize in HIPAA and have supported many clients in achieving HIPAA and other regulatory compliances. We can support our customers in developing and managing formularies, integration & automation of pharmacy claims processing systems, mail order prescriptions management, developing EDI interface for electronic claims are processed in HIPAA compliance.

Effective prospecting involves focused search for potential clients. Mahindra Satyam performs this process of Prospect Management starting with lead generation, solicitation and monitoring and enables customers to focus on their core business areas.

Our experience in Campaign Management involves design, coordination, execution & monitoring of marketing campaigns.

Mahindra Satyam has expertise in sales and prospecting process, first premium collection process, proposal submission process, proposal scrutiny process, process of risk assessment, process of medical examination, and policy issuance.

A solution that helps identify policies due for renewal, create renewal list, review policy coverage, check claims details, evaluate risk for renewal/calculate renewal premium, send renewal notice/decline letter,..and so on.

Helps perform functions such as collating information/feedback from customers, employees, reinsurers, actuaries, experts and analysts; study & analyze market feedback; analyze market trends and competitors’ products.

Helps reduce operating costs by eliminating manual process, reducing turnaround time for issuing new quotes to agents, improving underwriting consistency while reducing dependency on the IT personnel for managing business rules.

A solution that executes all tasks involved in customer management lifecycle, right from customer acquisition to retention.

Creates leads customized to specific selection criteria provided by customers. Also enables agents to get access to a steady supply of qualified leads through aggressive digital marketing activities.

These are the solutions that enable customers to take the best, timely decisions. Our well-defined implementation methodologies, supported by end-to-end data warehousing techniques, optimize the total cost of ownership (TCO) for customers. We have well-demonstrated total ownership of the integration program ranging from defining the integration strategy to creating the dart mart required for business decisions.

Our Customer Relationship Management solutions enhance Health Insurance organizations’ ability to attract, retain and grow profitable customers. This is done through a combination of high-end consulting skills and CRM technologies.

Mahindra Satyam’s Portal Solutions for health insurance customers provide a central location where both healthcare professionals and patients can share and analyze information, perform transactions, design workflow and collaborate - all via the applications, e-mail or web browsers. Our solutions include designing extranet/intranet portals, learning management systems, content creation, clinical, administrative, staff and patient portals.

Mahindra Satyam offers a very strong and coherent solution to effectively track, respond to, and report on all complaints received by customers. This comprehensive system with a customer-focused approach, interfaces at an enterprise-wide level to ensure visibility to all business units in accordance with all regulatory guidelines helping the customer steer in a positive direction.

Our iDecisions ™ (a transformative Business Intelligence framework) enables efficient healthcare business management through Integration, Intelligence and Insight. It can lower implementation and maintenance costs and time-to-market by 30%. This modular framework reduces 80% efforts of data collection for analytical reports. Its strength lies in its ability to leverage the existing tools and data of the customer to provide an adaptable, accessible solution.

Intelligent Application Integration and Middleware solutions that can integrate heterogeneous healthcare applications dynamically. These solutions mainly focus on optimizing standard-based medical data exchange, and improve the flexibility, interoperability, maintainability, scalability and extensibility of health care information systems.

An intelligent middleware with two-layer knowledge-based architecture is required to accelerate healthcare information process, improve patient safety and quality and benefits of healthcare, and provide comprehensive electronic patient record. Mahindra Satyam offers intelligent Application Integration and Middleware solutions that can integrate heterogeneous healthcare applications dynamically. These solutions mainly focus on optimizing standard-based medical data exchange, and improve the flexibility, interoperability, maintainability, scalability and extensibility of health care information systems.