Transform your claims operations – in as little as three to six months — with an industry-leading platform designed to increase efficiency and boost agility.
Claims management and processing is core to your plans’ business and can impact operations from back-office administrative functions to quality initiatives. It is estimated that each year in the United States nearly $300 billion is lost due to claims related waste, fraud and abuse, plan inefficiencies and inaccurate claims. Knowing this, it is easy to see how minor changes in process improvement and accuracy can result in significant gains for a health plan. While many plans look to rework their internal processes, often times they overlook the technology they use to manage and control these operations. Without a powerful platform, plans can struggle with inefficiencies and time-consuming manual processes.
Advantasure delivers a comprehensive, compliant and low-maintenance platform that reduces errors and manual processing. You’ll get the flexibility to select service level and processing needed based on your plan’s operations and objectives, with a high rate of auto-adjudication through automated administration that helps increase payment accuracy.
Built for the government healthcare market and changing requirements, our solutions are backed by a team with deep expertise and experience in regulatory, plan, technology, government agency and other fields. Our solutions are designed around delivering the technology platforms and managed services that meet and adapt to changing CMS requirements. We understand the revenue and cost drivers that impact your plan’s goals and day-to-day operations. While our claims platform works as a stand-alone solution it can be combined with our suite of related services, and partners well with our enrollment, billing and other administrative technology platforms, to further amplify your growth.
Let’s talk about how we can streamline claims functions and drive results for your plan.
In the spring of 2018, Tessellate integrated with a sister company to form a stronger, more competitive organization, with the ability to leverage complimentary products and services and deep industry expertise. Recently, the company unveiled its new brand, Advantasure, with the tagline: Fueling Accelerated Performance.
The new name and tagline accurately reflect the company’s unique suite of technology products and business process services that improve the performance of health plans and provider organizations in the delivery of government healthcare programs.