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Reduce Claims Adjustments for Substantial Savings

Healthcare insurers waste approximately $10 billion annually disputing and reconciling claims. Avoidable mistakes account for 5 percent of this unnecessary cost. Improving claims accuracy could save insurers billions per year.

Fixing these mistakes may seem overwhelming. Because of the volume and complexity of the problem, Knowing where to start is the first step. With Enkata Claims Performance Business Solution, we’ve helped the US’s top healthcare insurers save tens of millions of dollars by identifying their most costly claims errors.

Streamline Your Claims Process with Enkata

Along with Enkata Claims Performance Business Solution, Enkata provides integrated performance management and analytics products for improving your claims processing. Our solutions model your complex data relationships so you can identify the points where people or processes break down — and fix them.

Use Enkata to track key metrics, establish a coaching system to reduce processor errors, and help providers manage their submission quality and payment timelines.

Our products can:

  • Reduce claim adjustments by 20-30 percent
  • Reduce late payment interest by 10-20 percent
  • Reduce penalties and fees by 10-20 percent
  • Improve relationships with providers

Enkata Integrated Product Line Includes:

  • Claims Performance Business Solution to reduce claims processing errors.
  • Claims Adjustment Analytics Solution to identify the drivers of excessive adjustments.
  • Enkata Coach to automate and standardize your coaching process.
  • Want to see the bigger picture to optimize your claims processing? Request a demonstration of the Enkata integrated product line to see how.