ICD10 standardization of Doctor Codes is a crucial First Step in the Digital Journey of Health Insurers.
ICD10 standardization of Doctor Codes is a Crucial First Step in the Digital Journey of Health Insurers.
Doctor Code Standardization
Standardized information about doctors across the health claims process is crucial for error free and quick settlement of claims. Lack of standardized information on doctors, ailments and associated diagnosis pose the following challenges:
- Incorrect selection of policy’s benefit code leading to wrong claims processing
- Data integrity issues inhibiting vital data analysis for fraud detection and prevention
- Unproductive effort across teams(claims, network management, TPAs) in maintaining doctor information
- Synergy’s Doctor Code Standardization is a custom service that helps health insurers standardize their information about doctors and their specialty, and codify them for use in the claims process.
Solution Highlights
One set of standardized doctor codes across teams with unique codes assigned for each specialty
Classification of all doctors in the directory as per the new code system
Updating the policy administration system
Solution Methodology
The custom solution is delivered by an expert team of Synergy consultants with decades of experience in the insurance industry in operations and data analytics.
Key Benefits
Accurate health claims processing
Improved productivity in health claims processing
Standardized and codified database of doctors shared across multiple teams
Related Solutions
Health Claims Analytics Dashboard
Health Claims Automation
Health Claims Knowledge Management Portal
Success Stories
Thought Leadership
Leadership Interview
Role of Patient Care Providers: Interview with Mr. Ramneet Walia, CEO Asia, Preferred Global Health (PGH)