Helps healthcare payers’ efforts in meeting state and federal regulatory requirements and accreditation standards. The solution evaluates and measures the Utilization Management (UM) staff’s consistency in applying the appropriate clinical guidelines and medical necessity criteria for pre-defined scenarios.
A business-configurable decision engine that provides any business the ability to set up decisioning criteria in one interface, and then display those pre-configured decisioning criteria in a separate interface for applications across various industries and market segments. DCS can also track workflow management of tickets throughout the lifecycle to enable governance and transparency of information and requests.
A solution to help purge executed Appian process instances that are active with no pending tasks or stuck due to errors. These old process instances consume system memory in the environment causing slower runtime. This is scheduled to run automatically every week to eliminate the need of user administrators having to manually filter and cancel these process by hand.
Our delivery model puts people first.
We take the time up front to understand the people involved, how they do their work, and how we can help add value. We then help you build a support system for the Appian solutions we implement so that your team becomes self-sufficient and less reliant on external support.
Our hybrid delivery model and emphasis on impactful change management ensure you get the most value for your investment.
We provide three key approaches: onshore, nearshore, and offshore. Embedded within our approach is the concept of rightshoring, where we customize our software development staffing to ensure a balanced team, optimizing the value of your investment and effectively delivering on critical initiatives.
Onshore software development engages with a development team in the same territory as your business center. This is a good choice when the work requires close collaboration with on-site specialists. We offer top-quality onshore development from our development centers in the USA, UK, LATAM, and South Asia. Working with our onshore software development team greatly reduces the risk of miscommunication and ensures a better understanding of project requirements and client expectations.
If you need a development team in the same time zone but aren’t particular about having them on-premises, a nearshore software development company might be a suitable model for you. Our expert software developers offer the same skills and workflow efficiencies as onshore resources but at a better value. Geographic proximity enables a real-time collaborative development cycle. Altiosoft has offices on four continents, allowing us to provide nearshore services around the globe. As an innovation-driven nearshore software development company, we help you reduce operational expenses and grow the global footprint of your tech talent.
Offshore development is a great solution when projects need large teams and quick delivery. Our vast and diverse team of highly skilled developers can be swiftly onboarded to provide end-to-end solutions with 24/7 support and maintenance. Partnering with an agile offshore software development company helps you reimagine your software development lifecycle and complete projects that require superior quality and specific expertise. Our consultants connect business leaders with offshore software development teams equipped with specialized skill sets that are hard to find locally.
When it comes to software development outsourcing models, there’s no true one-size-fits-all approach. In rightshore software development, you use a blended approach, keeping key processes (like project delivery, architecture, and UX/UI) onshore or nearshore while outsourcing other roles (like development and QA) to an offshore team. Our unique rightshore approach to software development helps us deliver project outcomes that go beyond expectations. As a future-ready righshore software development company, we make sure that our clients get the best of both worlds and drive better flexibility, efficiency, and affordability.
Automate and optimize your processes from beginning to end with AI, RPA, API integration, business rules, intelligent document processing, pre-built components, and integrated workflows.
Our mobile application development leverages various technologies and capabilities, like wearables, artificial intelligence, and mobile games. With our customizable frameworks, you'll get better ROI in less time.
We streamline the development process and build custom APIs that enable seamless communication between corporate apps by leveraging fully vetted API integrations.
Our global team of software developers, consultants, engineers, and designers uses the proprietary Lean Product Accelerator™ methodology to create Minimum Viable Products (MVPs) that reach the market faster with maximum quality.
We modernize legacy software for better performance and capabilities through rehosting, refactoring, rearchitecting, rebuilding, or a combination of these methods.
Understanding how to leverage Appian effectively to meet clients' needs is a key component of Altiosoft' Appian practice. Employees are gearing up for a promising future upheld by a supportive, learning-focused culture.
A consolidated view of members’ health data providing a holistic view of the member to enable appropriate care planning across Medical, Pharmacy, Behavioral Health, Dental, Vision, and Labs.
Discover actionable strategies for leveraging automation to revolutionize your healthcare operations. Enhance patient satisfaction, drive engagement, and streamline care coordination.
Business configurable clinical decision engine automating Prior Authorization process to reduce manual intervention, and increase accuracy of authorization determination.
Automated solution matching the claims on all service levels to the approved authorization - increasing payment accuracy.
A consolidated view of members’ health data providing a holistic view of the member to enable appropriate care planning across Medical, Pharmacy, Behavioral Health, Dental, Vision, and Labs.
Automated the handling of employee concerns submission system and implemented guidelines for a BPM Center of Excellence.
Oversight of shift management process to ensure operational readiness and staffing accountability to ensure effective resource allocation.