Payer Solutions

We work with leading payers to increase productivity, create more efficient processes, and harness the power of data to improve healthcare outcomes

Digital Services

Offerings

Core Health Plan Services

  • Plan Administration
  • Product Consulting
  • Claims Adjudication
  • Value Based Insurance Design
  • Patient Privacy 
  • Pharmacy Benefit Management
  • Claims Overpayment Detection
  • Care Management
  • Accountable Care Organization (ACO)
     
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Digital Healthcare Services

  • Mobility and Internet of Things (IoT)
  • Healthcare Business Intelligence and Analytics 
  • Legacy Modernization

Government Program Solutions

Reduce administrative costs with efficient, regulatory compliant program administration solutions from Syntel, including:

  • Regulatory Compliance
  • Medicare / Medicaid Program Management 
  • Quality of Care
  • Revenue and Performance Optimization
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Retail Clinic Platform

Seamlessly integrate business processes to deliver increased efficiency and optimal resource utilization, enabling clinics to provide services faster while maintaining a high standard of care.

Payer BizOps

Reduce cost, and increase the speed, scalability and accuracy of your business operations with automation-powered BizOps services from Syntel. Our solutions apply rule-based automation, machine learning and predictive analytics to areas such as:

  • Claims processing, adjustments and audit services
  • Member services 
  • Premium processing, reconciliation, and billing services
  • Provider data configuration, Medicare risk adjustment

Insights

Syntel works with leading payers and providers to revolutionize the way they operate their businesses. Learn about the future of healthcare, and the insights that are driving it.

Success Stories

Enhancing Productivity with Syntel’s Production Support Services

A leading health insurance company was facing issues resolving a large number of tickets stemming from recurring issues. The client decided to make a significant effort to fix these errors, so Syntel deployed a team of Kanban and Production Support and Maintenance (PSM) experts to quickly and permanently fix them. In doing so, we not only reduced the ticket count, but also managed to automate a number of time-consuming manual activities.

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