Gaine Technology
CLAIMS DATA MANAGEMENT – PAYERS

Take control of your claims data and transform your claims management process.

Unify, cleanse, and analyze your claims data, unlocking valuable insights and driving better decision-making.

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OVERVIEW

Optimize your claims management

Payers face mounting pressure to control costs, improve efficiency, and enhance the member experience. Coperor’s Claims Data Management solution empowers payers to overcome these challenges by providing a unified view of claims data, advanced analytics, and streamlined workflows. Proactively identify issues, improve provider collaboration, and make (actual) data-driven decisions for a more efficient and effective claims management process.

Claims data management for payers
BENEFITS

Stop managing your claims. Master them.

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Reduce costs

Minimize claim denials and administrative expenses through automated processes and improved data accuracy.

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Improve efficiency

Streamline claims processing, reduce manual effort, and accelerate turnaround times.

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Enhance accuracy

Ensure clean, accurate, and consistent claims data for better decision making.

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Prevent fraud

Identify and prevent fraudulent claims through advanced analytics and pattern recognition.

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Optimize payments

Negotiate better provider rates and optimize payment processes for improved financial performance.

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Strengthen networks

Build stronger provider relationships through collaboration and data transparency.

Why Coperor for claims data management (for Payers)

Consolidate claims data


Integrate claims data with various sources, including member information, provider data, and clinical data, creating a unified view for comprehensive analysis and reconciliation. You’ll Gain(e) a holistic understanding of your claims data, identify trends and patterns, and make more informed decisions. By combining claims data with other relevant information in real-time, you can identify potential issues and opportunities for improvement.

A Coperor profile for a member is shown with claims and one consolidated claim shows 2 contributors, one of which appears to be a resubmitted claim.
FEATURES

Feature highlights

A form for adding a new data source to Coperor.
Integrate

Connect with any system

Seamlessly integrate Coperor with your existing claims management systems, data warehouses, and other healthcare applications.

A list of claims that were rejected as the result of an incorrect NPI are shown.
Cleanse

Ensure data accuracy

Automatically identify and resolve errors, inconsistencies, and duplicates in claims data with Coperor’s data quality tools.

A list of audits that have been resubmitted are shown
Analyze

Unlock data insights

Gain(e) insights into claims trends, cost drivers, and provider performance with Coperor’s advanced analytics and reporting tools.

Several custom reports are shown as available in the Coperor console
Report

Generate custom reports

Create custom reports tailored to your specific needs, providing valuable insights into claims performance and trends.

Details of a claim's failed data quality checks are shown, there are 3 errors and 2 warnings indicating various states of anomalous or bad data.
Prevent

Knock down fraud, waste, and abuse

Conduct comprehensive fraud, waste, and abuse audits with Coperor’s advanced analytics and anomaly detection capabilities.

A Provider to Member ration analysis is shown for collaborating with providers on over-assignment or under-assignment of member populations
Collaborate

Share data with providers

Securely share claims data with providers to facilitate collaboration, resolve discrepancies, and improve network performance.

Frequently asked questions