Healthcare Business Process Management Solution

Our Expertise

Healthcare Business Process solutions backed by 25 years of industry experience for providers and payers that accelerate growth and improve cost competitiveness

Wipro’s Healthcare Business Process solutions for providers and payers improve real-time customer responsiveness, meet regulatory compliance and provide cost competitiveness. We use our 25+ years of experience working with leading US Payers, health systems and Medicaid agencies to drive business process efficiency and accelerate growth.

Our Provider services include:

EMR Clinical and IT Helpdesk (Epic, Cerner, AllScripts, Meditech and others)
Revenue Cycle Management - Patient Access Management and ICD-9, ICD-10 Medical Coding
Clinical Documentation Improvement (CDI)
AR, Denials Management
Patient Accounting and Contact Center
Corporate Business Services - Finance and Accounting, Human resources
3D Imaging Reconstruction - HIPAA Compliant Global Radiology Support Center

Our Payer services include:

Claims Administration Services
Provider and Member Contact Center Services
Premium Billing & Reconciliation
Care Management - Utilization managements, Case management and Medical management
Integrated Behavioral - Clinical program "feet on street" services
Mailroom and fulfilment services including imaging, data entry, scanning, EOB, Check, correspondence printing
Fraud, Waste and Abuse (FWA) Program Integrity services

Our team of domain experts responds to more than 10 million member and provider calls annually and has helped settle more than $15 billion in annual claims. This is in addition to achieving savings of $2.9 million by automating provider claims submissions— facts that serve as evidence of the efficacy of our business process services

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