Automated and Efficient Exchange of Information Between Providers, Payers, and TPAs
In today’s rapidly evolving healthcare landscape, efficient exchange of information among providers, payers, and TPAs is paramount. Our E-Hub platform ensures HIPAA-compliant, automated data exchanges with payers so physicians and clinics can focus on delivering high-quality care and avoid labor-intensive manual inquiries.
E-Hub has built-in EDI accelerators for seamless integration with Electronic Medical Records (EMR) systems, Practice Management Systems (PMS), billing systems, and Accounts Receivable (AR) workflow systems. Its intuitive user interface enables real-time events monitoring, empowering you to automate activities such as:
- Eligibility verifications and benefit inquiries
- Claim status inquiries
- Prior-authorization requests and follow-ups
- Insurance discoveries
Features and Benefits
Intelligent Automation
Automated real-time/batch eligibility and claim status inquiries from Medicare, Medicaid, and 300+ commercial payers through EDI/RPA channels.
Advanced Configuration Engine
Our cognitive rule engine acts as a rule-based conductor to ensure smooth data orchestration.
Streamlined Pre-authorization Workflow
E-Hub facilitates pre-authorization workflow with automated data exchange to avoid no-shows and cancellations in healthcare facilities.
Effective Events Tracking
Dashboard tracks all the automation events across providers and payers for real-time, continuous monitoring.
Insurance Discovery for Self-Pay Population
Our cognitive rule engine supports automated Insurance Discovery using sophisticated algorithms for guaranteed success rate with regulatory compliance.
Web Portal
End-users can perform real-time eligibility and claim status inquiries from Medicare, State Medicaid, and 300+ commercial payers.
Unlocking Digital Performance
Industry-Leading Innovation
1M+ transactions per month. Powered by 200+ patented inventions, Sutherland’s AI-driven products and platforms empower businesses to innovate, streamline processes, and deliver exceptional experiences.
Enhanced Provider-Payer Relationships
15% insurance discovery rate. Improve communication and collaboration between healthcare providers and payers, leading to smoother interactions, faster resolutions, and improved satisfaction.
Enhanced Efficiency
30% improvement in productivity. Streamline data exchange processes between healthcare providers and payers, reducing manual efforts, errors, and processing times.
Better Visibility
Gain real-time visibility into the status of claims and payments, enabling proactive monitoring and management of revenue cycles.
Improved Accuracy
95% real-time data exchange. Minimize errors and discrepancies in data transmission, ensuring the accuracy and integrity of financial transactions and patient records.