OptimaMedWise on AWS with Cognizant Technology Solutions

OptimaMedWise Combines Technology with Domain Expertise to Effectively Identify and Control Medical Leakage

Claims processes of the future are available today, thanks to rapid developments in technology and services. The continued rise in workers’ comp medical costs have already cut into insurer's limited margins, posing a challenge for the sustainability of your business and for the workers’ compensation insurance industry in general. Cognizant OptimaMedWise provides a way of automatically comparing individual claims to a massive knowledge base of existing cases, in order to flag treatment that deviates from the norm.

Cognizant is an APN Premier Consulting Partner and an AWS Financial Services Competency holder.

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    Solution highlights: ­ ­

    • Reduce Your Medical Claims Leakage and Loss Ratio in WC
    • Pre-Define Expected Treatment Plans
    • Evidence based guidelines to review medical claims
    • Leverage a Full Compliance Framework
    • Gain a 360º View of Claims
    • Profile your medical providers by claim outcomes

    Key features:

    • Tiered Review Process
    • Configurable business rules to automate compliant bills
    • Review of all exception treatments in a claim
    • Analytics and Dashboard
    • 360 Claims Overview
    • Configurable output mechanism for integration

    AWS Competency Partner Cognizant delivers Treatment Plan Review Services implementations, integrate relevant AWS services, onboards clinical services team and provide business process as a service.

    Explore how you can address medical leakage process in your organization by engaging Cognizant and AWS in a workshop to understand

    • Key Industry Trends in Workers Compensation (WC) Medical Cost Containment space
    • Perspectives on Measuring WC Claims Outcomes and Results
    • Process view of Treatment Plan review operations with focus on transformation using the levers of Automation, Process excellence, Evidence based guidelines and Analytics
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    Discover value from this solution by gaining access to AWS credits to support a Proof-of-Concept (POC) with this solution.

  • Work with an APN Partner
  • Work with an APN Partner

    APN Partners with the AWS Financial Services Competency designation offer consulting services to help you quickly discover value from this solution. Follow this link to find more about these APN Partners and their consulting offers, and to request more information or support.

    Discover value from this solution by gaining access to AWS credits to support a Proof-of-Concept (POC) with this solution.

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  • Get help
  • Get help

    Discover value from this solution by gaining access to AWS credits to support a Proof-of-Concept (POC) with this solution.

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    AWS Credits
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Learn more about Financial Services Partner Solutions

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