OpenConnect Now Part of AHIP's Partner Program

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OpenConnect has announced its inclusion in America's Health Insurance Plans' (AHIP) Select Partners Program.

The OpenConnect comprehend solution provides detailed event-based intelligence around the complete claims operation and member service process. The comprehend solution includes real-time metrics into worker productivity and operational inventory; event-based analytics on the exact productivity and costs due to manual work in claims operations; and a complete view of the end-to-end process -- from claim submission all the way through payment, the company stated in a press release.  

“We're delighted by this recognition from AHIP and excited by the opportunity to partner with an increasing number of healthcare insurance providers," said Edward M.L. Peters, CEO of OpenConnect, in a statement. "We understand the challenges healthcare insurance executives face in achieving lower administrative costs and improving workforce productivity. Our Comprehend solution has successfully proven its value to the Plans with which we have worked, allowing them to gain visibility into their processes, eliminate work, and improve financial performance.”

To automate manual processes and free human capital to focus on improving service levels, comprehend automation provides "virtual examiners", while comprehend customer intelligence provides a detailed view of the entire customer process and experience to pinpoint specific areas of improvement. OpenConnect is already helping some of the country's largest healthcare insurance payers to significantly improve auto adjudication rates, reduce adjustments and improve workforce productivity and AHIP is encouraging its member organizations to evaluate OpenConnect's Comprehend.

Recently, the company unveiled Comprehend version 6 of its business software, allowing organizations to measure workforce productivity as work is occurring and ensure workflow is generating maximum profitability. Comprehend 6 was designed to help business leaders who are dissatisfied with the lack of detailed information about the true cost and efficiency of their business processes gain insights into performance improvement. Comprehend 6 allows operations executives to understand at a granular level the productivity of individual employees, departments or entire business units.


Raju Shanbhag is a contributing editor for TechZone360. To read more of Raju’s articles, please visit his columnist page.

Edited by Jamie Epstein

TechZone360 Contributor

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