Gaine Coperor unifies and transforms your data, giving your teams a single source of accurate, consistent, and connected information for all your systems and reports. You'll improve data quality, process claims faster, and gain valuable insights, leading to better member care and operational efficiencies.
“A data platform serves as a bridging asset between the organization's clinical and administrative components, both of which are essential to full compliance with the operational and technical elements of regulations, the satisfaction of members and providers, and the development of the base for AI."
Jeff Rivkin, IDC Research Director, Payer IT Strategies
From IDC Analyst Brief, “Overcoming Data Chaos: The Imperative for Payers to Adopt a Healthcare Data Management Platform,” June 2024
Provider data issues, such as outdated contract and network data, often disrupt claims processing, leading to poor auto-adjudication rates and increased administrative burden. Trouble shooting is impaired by lack of visibility into claims processes. With Coperor, you can:
Payers rely on multiple applications for critical functions, such as provider directories, onboarding, credentialing, and others. These systems often operate independently, leading to inaccuracies and inconsistencies. Coperor offers a centralized provider data management platform that addresses this challenge by:
Eliminate fragmented data and manual processes that lead to inaccurate provider directories, billing errors, and care delays. Coperor provides a 360-degree view of members, providers, payers, and claims, offering:
HEDIS and Stars Ratings significantly impact financial rewards and regulatory compliance, but many payers struggle with timely and accurate reporting. Coperor HDMP transforms this process with real-time data management, enabling:
Employer group reporting is becoming increasingly complex and demanding, with health plans facing pressure to manage costs and demonstrate value. Data silos, manual processes, and evolving requirements hinder accurate insights and timely decision-making. Coperor streamlines reporting process with:
Payers struggle to maintain accurate contract and network data due to complex provider relationships and frequent changes. Effective provider data management prevents compensation errors and enables more insightful network analysis by ensuring specialty, network, and affiliation information is kept current and correct. Coperor offers:
Chief Administrative and Operations Officer, Top 5 California-based health insurance provider
Synchronize seamlessly with your existing core claims and administration platforms, EHR, data warehouses, provider data management systems, reporting and analytics tools, and other critical healthcare systems. Uncover new context for data that is otherwise wasting away in your data warehouse. No more data silos or manual updates – just real-time, actionable insights that drive better care.
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