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PT NETMARKS INDONESIA
An Affiliated Company of UNIADEX Ltd. (Japan)
We are here, on Customer's side
Provider
Contract Management
Mobile Medicare
Enrollment
Communications for Member Engagement
PROVIDER CONTRACT MANAGEMENT
1
Contract Management
Enable Automated and digitized contract management for faster negotiation and approvals
2
Simplified Credentialing
Retrieve data and document from CAQH, auto-route, and archive all provider all provider information and credentialing documents
3
Centralized Archival
Ensure secure archival of contract data and documents, preventing the loss of valuable documents
4
Integration Capabilities
Integrated with credentialing and claims systems. Auto-load provider details and contract information in claims system, eliminating redundancy and ensuring accurate provider data
Health Plans process contracts in high volumes each year. However, each provider contract is paper-based and thus, managed manually. This makes the contract management process (updating, tracking, finalizing and archiving) time-consuming and error-prone. Contract Management solution transforms contract lifecycle from creation to termination. The solution enables Payers to securely exchange information both within and outside the organization and gain visibility into the contracting process.
PROVIDER CONTRACT MANAGEMENT
Health Plans are dependent on impactful communication to keep members happily engaged. However, most communication fails due to lack of personalization, incorrect channel, improper frequency of delivery, and incomplete/ absence of context. Moreover, Health Plans are required to adhere to regulatory compliances guidelines while communicating with members.
Communication Management
Audit-Readiness
Multi-Channel Delivery
Efficient User Management
Automate and personalize highvolume/bulk communications, one-to-one member communications, and ondemand communications for different departments across various stages of the member life cycle
Track different versions of a single communication type. Delivered communications are archived in a central repository, enabling audit-readiness
Deliver communications through various digital and traditional channels such as emails, web, print, SMS, mobile, and others
Configure user rights and functionality based on roles and responsibilities
PROVIDER CONTRACT MANAGEMENT
Member enrollment is the first step in member servicing cycle and a seamless enrollment process enhances member loyalty and brand value. But this critical business process is often fraught with errors and irregularities due to paper-based applications and manual hand-offs.
1
Automated Processing
Automate and mobilize sales lifecycle from lead management, member needs analysis, application logging, tracking to offering member services
3
Document Management
Capture information on-the-go
and allow its secure transfer for
processing or archival
2
End-to-End Visibility
Generate multiple reports for different stakeholders, offering a snapshot of key performance indicators
4
Member Communication
Provide instant mobile updates
to field agents and keep
members informed
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