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Healthcare organizations are continuously investing in IT to transform their legacy systems into robust product platforms to become more efficient and responsive. However, payers are under pressure due to increasing costs and healthcare reforms. To cope with this, payers are looking at a customer-centric transformation to re-align and re-architect their existing platforms for greater efficiency and faster time-to-market. Derive More Value from FACETS Platform by Automating Customer-centric Services

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Page 1: Derive More Value from FACETS Platform by Automating ... · PDF file• Automated provider contract configuration and data loading into FACETS ... a business-centric model to ... member

Healthcare organizations are continuously investing in IT to transform their legacy

systems into robust product platforms to become more efficient and responsive.

However, payers are under pressure due to increasing costs and healthcare reforms.

To cope with this, payers are looking at a customer-centric transformation to re-align

and re-architect their existing platforms for greater efficiency and faster time-to-market.

Derive More Value from FACETS Platform by Automating Customer-centric Services

Page 2: Derive More Value from FACETS Platform by Automating ... · PDF file• Automated provider contract configuration and data loading into FACETS ... a business-centric model to ... member

Derive More Value from FACETS Platform by Automating Customer-centric Services

For more information, visit Syntel online at www.syntelinc.com or call us at US/+1 (248) 619-3503, UK/ +44 (0) 207-636-3587

© 2017, SYNTEL INC. 012017

Syntel Solution

Syntel’s expertise and experience of working with leading product vendors provides an edge to help you with a comprehensive range of services for Payers (Core administration and Care management platforms). Our Healthcare Payer Product Consulting Team offers services across Payer platforms such as FACETS, NetworX, QNXT, Metavance and Care Advance Enterprise, Pega, and HealthEdge. Syntel’s services range from configuration to coding and upgrades to testing. Our transformational solutions enable you to align with healthcare reforms and digitally leverage data and capabilities of underlying core platforms. The two game changing solutions from Syntel that give you an edge are:

Syntel’s Digital FrameworkSyntel’s digital framework is developed on top of the existing Facets architecture to integrate with any mobile device and to transfer data from wearable devices to the healthcare analytics system. The domain-based reusable web APIs are created as a part of this framework. These APIs are made available to members, providers, and customer service. This framework also leverages social media to gauge patient insights and behavior to customize services for members as well as providers.

SyntBots® for Facets:SyntBots transforms new business initiatives across enterprise technology stack through DevOps, existing IT operations, and applications around Facets. Business process automation, too, maybe transformed through robotic automation. SyntBots plug-n-play platform integrates all applications and technology including mainframe, desktops, applications, web servers, incident management system, databases, cloud, and mobile platforms to be deployed on public cloud or as a virtual appliance. SyntBots automation results in to savings in terms of FTE reduction and overall cost and time to market.

Business Benefits• 25% faster Straight Through Processing (STP)• Domain-based secure and scalable APIs enable on-the-go status check for members,

providers, and others• APIs are a cheaper and faster way to build applications by reusing services• 70% improvement in availability• 30% reduction in operating costs• 45% improvement in first time right• Up to 50% effort savings due to automation• 100% accuracy in impact analysis and reduction in human errors• Up to 25% reduction in resource utilization and costs

Delivering Excellence Syntel’s client, an independent non-profit health plan operator needed new contract configurations and contract/code modifications to be loaded in to FACETS to avoid any impact due to ICD-10. Syntel’s end-to-end automation solution for FACETS accelerated time-to-market for configuration tasks and delivered:

• 30% efforts savings through automated loading of supplemental codes into BusinessProcess Automation (BPA) tables

• 20% year-over-year process optimization and productivity improvement• Automated provider contract configuration and data loading into FACETS to improve

accuracy and minimize effort

SOLUTION HIGHLIGHTS

WHY SYNTEL?

• Integrates payer andprovider data to give a 360o

view of the members’ health• Makes members’ health

data available to allproviders to avoidredundant health services

• Uses available informationto provide better servicesto members and integratesall stakeholders

• Transforms healthcare froma business-centric model toa consumer-centric model

• Provides secure andcompliant access tomember data

• Extends facets architectureto domain-basedintegration for securedata transition andtransformation

• Size, Scale and History -24,000+ associates at 30+offices on four continents;Stable and profitable since1980 (NASDAQ: SYNT)

• Solutions for the DigitalAge - Evolve the core todrive efficiency, agility andvalue; Go digital to engagecustomers, discover newinsights and create a moreconnected enterprise.

• “Customer for Life” Philosophy - Focus onworld-class customerservice with the agility tomeet changing client needs

• Investing in Excellence- Sustained investmentsin world-class facilities,domain expertise, IP-based solutions, tools andaccelerators

• Integrated IT and KPO- Tight technology andprocess alignment; Industryand domain-focusedsolutions