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CGI helps U.S. payers digitally transform operations to streamline administrative costs, while improving provider collaboration and increasing member engagement. CGI works with healthcare payers and integrated delivery networks to deliver a full spectrum of digital solutions to help improve patient care, member engagement and operations while ensuring assets are protected with world class payment integrity and cybersecurity solutions.

Enhanced claims processing and auto-adjudication with intelligent automation

Claims processing represents one of the highest administrative costs in the U.S. healthcare payer industry. The claims environment for every insurer relies on the accuracy and speed of processes to meet its obligation to members. CGI’s claims processing and auto-adjudication services are fueled by intelligent automation and helps clients optimize claims processing by harnessing technology more effectively to make impactful changes to auto adjudication rates. CGI’s approach to claims processing focuses on your workforce, your processes and the best mix of automation technology. Our Robotic Process Automation (RPA) experts bring deep knowledge of leading vendor technologies (such as BluePrism, UiPath, Pega, Automation Anywhere, Kofax RPA and WorkFusion, among others), along with our own RPA technology, part of CGI’s proprietary Intelligent Automation Platform. Our RPA automations optimize the digital employee experience by handling tasks and sequences that do not require human intervention freeing up employees to focus on higher-value work.