Maximize value, revenue and efficiency

Healthcare organizations can easily convert acquired clinical data to pseudo claims that can be consumed by a payer administrative system. Using ClaimSphere Clinical+ providers get actionable clinical intelligence at the point of care by combining clinical and claims data. These features go a long way toward enabling payer-provider convergence.

The ability to track provider performance metrics and supplemental clinical data in real time allows healthcare organizations to more accurately evaluate various provider networks. The system also enables organizations to prioritize care gaps based on quality impact and develop performance benchmarks based on peer comparison analytics. 

ClaimSphere Clinical+ helps organizations collect and analyze medical records from providers quickly and efficiently. This allows closer monitoring of care gaps to improve efficiencies. To drive faster care gap closure, ClaimSphere Clinical+ then charts the results of evidence-based, performance-driven provider incentive programs.

Prebuilt workflows for care gaps assignment, abstraction and review are designed to ensure accurate data collection. Multiple documents can be uploaded and accessed simultanously to quickly capture relevant information for medical records.