Enrollment and billing processes can be complex, with multiple plan types, regulations, and eligibility requirements. Inefficient workflows can lead to errors and member dissatisfaction. Sagility’s enrollment and billing solutions simplify the entire process, improving accuracy and reducing administrative overhead. Automation helps ensure sea
A fragmented claims processing system can lead to inefficiencies, delays, and high administrative costs. End-to-end claims solutions integrate every aspect of the claims lifecycle, ensuring seamless management. Sagility’s end-to-end claims solutions provide payers with a comprehensive platform that handles claims intake, adjudication, and pay
Payment integrity ensures that claims payments are accurate, justified, and aligned with policy benefits. Errors in claims adjudication can lead to financial losses for payers and disputes with providers. With Sagility’s payment integrity solutions, payers can ensure accurate claims reimbursement while reducing overpayments and claim discrepa
Fraudulent claims cost the healthcare industry billions each year, making it essential for payers to adopt fraud detection measures. AI-powered analytics and automation play a critical role in identifying suspicious claims. Sagility’s fraud prevention solutions use machine learning to detect anomalies and flag potentially fraudulent claims be
Predictive analytics is transforming claims adjudication by identifying potential issues before they lead to denials or payment delays. AI-driven tools analyze historical claims data to predict errors and fraud risks. Sagility’s predictive analytics solutions help payers proactively address claim discrepancies, improving efficiency and reduci