With over 15 years of rich experience working with some of the top names in Healthcare, Speridian has listened, learned and created some of the most innovative solutions and delivery models that help our clients solve their problems and achieve their goals.
Our Healthcare capabilities span the entire spectrum ranging from latest Next-Gen Technology services to Process Automation & Optimization services to advanced Healthcare Consulting services.
Speridian enables healthcare Payers and Providers alike to meet ongoing industry demands while maximizing operational efficiency and effectiveness by enabling game-changing experiences for their customers, members, and patients. By leveraging our deep relationships with leading technology vendors, like Oracle, Microsoft, Salesforce.com, UiPath, AWS, et. al., we continue to build collaborative solutions that make it easier for our customers to do business with their clients.
Our Healthcare Services
Our Services
Payer Solutions
Speridian has been providing front-office solutions supporting Carriers, Brokers, and Employer groups with everything from Product Libraries and CRM solutioning(covering Marketing, Sales, and Service), to Shopping and Enrollment platforms, Private Exchanges, Member Portals, along with integration APIs and accelerators for nearly all of the market-leading claims platforms.
In addition, we offer a comprehensive suite of services, such as:
- CRM for Marketing, Sales, and Service
- Member Engagement
- Provider Verification
- Claim Fraud Analysis
- Eligibility and Enrolment
- Data capture of multiple claim form OCR & Automation
- Pre-adjudication
- Claims Repricing
- Adjudication
- Contracts Management
- Records Management
- Provider Verification
- Claim Fraud Analysis
- Payment Management
- Payment Accuracy
- Predictive Analytics
Provider Solutions
Speridian has been adding value to some of the leading Providers for decades, leveraging best-in-class IT solutions and NextGen technologies.
Our focus has been on value generation both from a Provider CRM perspective, a Patient Experience perspective, and a Revenue & Cost Management perspective.
We provide innovative solutions that solve problems and enable faster, more accurate decision making, leading to improved care, increased efficiencies, and stabilized costs. We offer comprehensive solutions leveraging the latest NextGen technologies for:
- Advanced Analytics & Reporting
- Hybrid Cloud Deployment
- CRM and Process Automation
- Referral lifecycle management
- Intelligent Document Intake
- Patient 360
- EMR Gaps in Care
- Data / Application Mining
- Clinical Trial Management
- Clinical Recommendations
- Real-Time Compliance
- Rx Utilization Trending
- Real-Time Adherence
- Patient Education Chat Bots
- Voice to Action EMR
Implementation Services
Already have a solution in mind and need help implementing? Rely on our healthcare expertise to ensure a smooth “go-live” with implementations and support services on technology such as:
- CRM, Claims, and EMR platforms
- Next-Gen: RPA, IoT, and AI
- E-health, self-service (member and patient) portal development
Speridian Advantage
Process Automation & Optimization streamlining processes and reducing costs
Flexible and customizable solutions to fit specific healthcare industry needs
Healthcare in Action
Insights
Our client is a not-for-profit organization that provides a range of health insurance and related products to more than 365,000 members primarily in western New York.
