FINEOS Provider is an integrated approach to claims and provider management that incorporates key benefits of FINEOS Claims and FINEOS Payments to simplify the complicated and matrixed approach to provider management required in today’s complex market.
Provider management software is essential for insurance companies to manage their provider networks efficiently, streamline claims processing, and improve the overall quality of care for their members. It can help reduce administrative burdens, improve accuracy, and reduce costs, leading to improved profitability and better customer satisfaction.
Integrated Solutions + Enriched Information + Powerful Technology = Competitive Advantage FINEOS Provider is a ...
New York Life Group Benefit Solutions teams are empowered to focus on customers instead of systems administration ...
Integrate and Simplify Payments Across Systems FINEOS Payments provides a comprehensive payment and disbursement ...
A provider management software like FINEOS Provider is a comprehensive provider administration and management software solution designed specifically for the unique needs of the life, annuities and health insurance industry.
Provider management software is used to register and manage provider records and collaborate with providers at case level to improve patient outcomes. FINEOS Provider management software also uses a robust search engine with comprehensive access to provider, payment and claim information. Case management frameworks within provider allow cases to be handled in a consistent, high quality manner.
Yes, FINEOS Provider integrates with FINEOS Claims management and FINEOS Payments management which enables collaboration and improved communication between case workers and service providers.
Provider management software like FINEOS Provider leverages provider information and analytics to negotiate lower rates, conduct analysis by service type and cost to identify over-servicing and prevent fraud with early identification of abnormalities in practice patterns.
FINEOS provider management software uses an open core system with greater flexibility across different platforms. It is designed for the B2B2C model in life, accident, health, group, voluntary and individual insurance markets.
A provider management solution reduces time and costs associated with service inquiries and requires less time tracking information. FINEOS Provider uses robust automated reconciliations and prevents duplication of provider information through online validity.
Integration of claims management and payment information provides more sophisticated analysis which leads to better contract negotiation, cost reduction and fraud prevention. Manage claim expenses through analysis of provider practice patterns. Integration also enables invoices and payments to be accurately aligned with service contracts.