Patni Computer Systems, a global IT and BPO services company, has announced “Claims as a Service” (CaaS), a solution specifically designed for the healthcare payer market.
CaaS is a hosted solution powered by TriZetto’s QNXT core administration platform that combines its software technology with Patni’s IT and BPO services. The offering supports the claims life cycle from intake through adjudication to customer service, including mailroom and fulfillment services, claims processing, enrollment and eligibility maintenance, member services, premium billing, reconciliation, provider maintenance, and post-payment audits. Any of these services can be selected on an a là carte basis.
The CaaS pricing includes all costs of transition from the existing system and is based on the number of members serviced on a monthly basis. The subscription-based structure allows a client company to support continuing growth while taking advantage of attractive price breakpoints.
Ganesh Iyer, senior vice president for Patni’s insurance practice, says: “Automating manual processes will create more transparency providing the visibility needed to meet regulatory requirements and manage the performance of the business. Healthcare payers will experience faster settlements, improved reporting, and more flexibility in pursuing new business opportunities while remaining compliant with emerging regulations.”