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Care Coordination

Spend smarter, serve members better.

Coordination of care can mean many things for healthcare members at different phases in life. It’s goal is to keep members healthy and in control of their own health with the guidance of their clinicians, which can often be a multi-person care team across healthcare organizations. With this, payers need an easy to use system that makes talking between payers and providers easy, with real-time access to member information in order to coordinate their benefits. Using Appian, healthcare payers can more easily determine member eligibility, initiate pre-authorization review and approval, and enable critical decisions in real-time on admission and discharge for optimum utilization management.

Features at a glance:
  • Keep members healthier, happier, and in control of their own care
  • Better manage member care with streamlined systems
  • Aggregate data to better coordinate member services