Claims efficiency: One of the challenges in the health plan industry is monitoring claims to find and recover overpayments and then understand why these overpayments were made in order to make quality improvements throughout the organization. Microsoft offers a claims recovery solution for health plan that helps you improve your claims efficiency and boosts your recovery rates.
In concert with Microsoft certified partner OTB Solutions we have developed a claims overpayment discovery solution that scores, sorts, and prioritizes over 1.5M new insurance claims each month. This highly-configurable and extensible claims efficiency solution is essentially free of custom code and helps you attain greater auditor efficiency.
To assist in your deployment of this solution, OTB Solutions offers the Knowledge Driven Solution Accelerator (KDSA). KDSA is a service-oriented framework and preconfigured development environment and toolset to rapidly develop Microsoft Office business applications, such as this solution, with little or no custom code.
You can use KDSA to:
Increase focus on user experience and data requirements.
Enable a rapid, iterative prototyping process.
Reduce or eliminate the need for custom code.
Shift the focus of your development team from technology to business solutions.
KDSA includes:
Composite Asset Designer. Use this visual design tool to create and maintain composite applications for Microsoft Office SharePoint Server with little or no custom code.
Preconfigured Development Environment. Deploy this software appliance to your project team in under 60 minutes.
Macro Design Patterns for Composite Applications. Use the sample applications to become familiar with macro design patterns for composite applications.
