SpyGlass Ups Quality in Claims Automation

Automation is not only about saving time; it also empowers teams to focus on what truly matters. As healthcare payers transition from legacy claim adjudication platforms to SpyGlass, we continue to see huge gains leveraging the platform’s automation capabilities to eliminate repetitive tasks, reduce manual review, improve accuracy, and free staff to tackle strategic priorities that deliver more value to the clients they serve.

SpyGlass has set the standard in the industry when it comes to claims automation. The platform’s rules-based adjudication engine automates straightforward to highly intricate benefit calculations to drive high auto-adjudication rates and ensure claims are paid accurately and on time. Strong auto-adjudication is the foundation not only for the efficient, timely processing of claims but also for increasing accuracy by avoiding the inherent variability associated with manual decisions, all of which help maintain high levels of member and provider satisfaction.

As migrations to SpyGlass continue, we’ve seen auto-adjudication rates jump over 40% compared with legacy claims technology. These numbers continue to climb as clients refine logic and improve plan-building processes within SpyGlass. Faster and more efficient claims processing leads to fewer errors and delays.

Each day, the powerful automation tools within SpyGlass process thousands of claims automatically, but the work of automation is not only about high auto-adjudication rates. SpyGlass offers all the controls needed to maintain the right balance of intelligent automation across all of the key avenues of claims administration. For example, automated reporting, correspondence, internal and external routing, and workflow all contribute to the success of meeting the unique needs of our diverse customer base and many interlocking trading partners.

Ready to Drive Quality in Your Claims Administration?

SpyGlass is helping healthcare payers to offer a more rapid configuration of client benefit options and prepare for the future with better scalability. To learn more about how our SpyGlass technology can benefit your organization, click the link below.

Modernize Your Organization with Leading-Edge Adjudication Technology

Download our comprehensive claims adjudication technology suite brochure and discover how SpyGlass can empower your staff to redirect their efforts toward more strategic priorities. Are you ready to enhance efficiency and drive progress in your organization?