Healthcare: Solutions Accelerators

Satyam: Solution providers accelerating business transformation

With strong focus on business value, Satyam features a domain-focused, technically competent team that addresses business problems. For years, Satyam has provided solutions to several payers. The solutions are comprehensive, and cover all critical activities of the entire payer-spectrum:

• Eligibility and enrollment
• Billing and accounts receivables
• Membership administration and management
• Claims administration and management
• Reimbursement and accounts payable
• Claims audit and fraud detection

Claims Solutions

• Claims processing
• Claims auto-adjudication
• High-value claims review systems
• Claims audit and fraud management

Corporate Clinical Data Management

• Admit and discharge systems
• Provider group partnership programs
• Corporate disease management
• Health element data information set
• Health information systems
• Member medical history

Case Management Systems

• Electronic claim system interface
• Referral/authorization interface
• Medical review tracking
• Patient/provider letters

Referral/ Authorization

• Plan and member database integration
• Web-enabled systems request
• Referral printing and access

Inquiry Systems

• Provider and account eligibility access
• Provider claim access
• Patient status systems

Sales and Agency Management

• Agency management systems
• Agency commission systems
• Eligibility and enrollment systems

Financial Systems

• Loss reporting and management
• Accounts payable and receivables
• Billing systems
  

Satyam has alliances with the best-of-breed insurance solution providers, as well as world-class technologies. With Satyam, insurance organizations can rest assured they will receive the right business and IT solutions, every time.

Our business analysts and technical architects use proven methodologies and work with customers’ IT staff to chart a clear roadmap of the IT reengineering initiatives. And, our management and relationship practices simplify outsourcing, enabling customers to focus on their business. For more information, contact rfi@satyam.com.