Together, Gaine and Facets enable healthcare organizations to streamline member, provider, and claims data processing in a manner that enables consistency of core administration data − not only with Facets, but with all connected downstream systems. This consistency is critical for overall operational efficiency, reporting, analytics, and regulatory requirements.
To optimize operational processes, Facets customers need a data management solution that streamlines and automates workflows as much as possible, ensuring the most accurate data is captured across the enterprise. Manual interventions to resolve data conflicts and issues are costly and ultimately lead to increased cost overhead and potentially incorrect processing.
Coperor’s comprehensive data management platform allows for full identity resolution across multiple domains helping ensure data quality while also synchronizing that information alongside administrative and clinical transactional data across the Facet’s platform.
We extract member, provider, and claims data from various Facets modules using pre-built connectors and industry-standard APIs. This data is then standardized using Coperor's MDM capabilities, ensuring consistency and accuracy.
Using domain-specific advanced matching algorithms resolves any duplication within Facets that currently create inconsistencies in profiles.
Coperor enriches Facets data by incorporating various reference sources and data from other application systems within the organization which ensures higher data quality, accuracy, and completeness.
Coperor's Orchestrator manages the flow of data between Facets and other systems, ensuring real-time updates and synchronization. This allows for seamless data access and activation through Coperor's Integration Hub, enabling various downstream applications and analytics.
By implementing Coperor's solution, organizations using Facets can achieve a significant improvement in data quality, operational efficiency, and overall performance, ultimately leading to better healthcare outcomes and cost savings.
Core administration for an organization is an essential requirement for maintaining business operations and continuity. As a backbone function, it is imperative organizations maintain this function to the best of its abilities.
The Coperor HDMP enables those organizations to bring in member, provider, and claims data from various sources ensuring data quality so that information going into systems like Facets have data integrity. As that data is being processed for business and operational use cases, it’s also essential that this is as automated as possible and requires minimal manual intervention. Even when that data is finished being processed it’s critical that downstream consumers of that information have that accessibility in as real-time as possible. Coperor addresses all those aspects so that systems like Facets can focus on their intended purpose.
This strategy has a multitude of benefits including data quality, automation, reporting, and analytics. Having cost effectiveness in maintaining systems like Facets drives improved profitability, minimizes member and provider abrasion, and allows maximized use of staff.
Getting started with Coperor is straightforward: simply integrate systems like Facets and other key systems that handle member, provider, and claims data into the platform. This integration maps your data to the Coperor data model, allowing you to activate the necessary integration points and data activities.
The foundation for any Facets implementation is having the core Member information structured and validated properly ensuring it is always kept up-to-date. This approach ensures all aspects of the enterprise from demographics, enrollment, benefits, member services, and claims processing are optimized for efficiency and improved automation.
Facet’s provider data needs to constantly be maintained for consistent operational processing of claims. In addition, that same provider data is often used for reporting, network analysis, provider directory, and a myriad of other business use cases. Coperor provides a holistic solution for the maintenance and upkeep of this data and ensures proper data quality is in place to support these initiatives.
Claims data processing is the backbone of any organization using Facets. A lower auto-adjudication rate means more manual intervention is required, which can be costly. Coperor helps address this issue by reconciling all claims data to ensure accuracy and completeness, ensuring that all necessary claims are present for adjudication. This process also enhances claims analysis, which is crucial for monitoring spend, patient populations, and clinical outcomes.
An effective Facets environment is operationally sound and highly automated for day-to-day business operations. Coperor enhances this environment by implementing essential checks and balances on the data, enabling organizations to maximize throughput within Facets by ensuring high data quality and completeness.
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