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  About inHEALTH Contact inHEALTH inHEALTH Management Privacy Policy

inHEALTH Advantage

Since 1998, inHEALTH has been helping leading insurance organizations improve the performance of their claims management operations with their technology and service solutions. With over 30 years of experience in the AB/BI Canadian market, inHEALTH has evolved into the market leader for claims management processing.

inHEALTH's  unique  Claims Intelligence solution combine an extensive knowledge base of claim approval benchmarks and outcomes to improve and optimize accident benefit claims. inHEALTH delivers:

Increased Process Efficiency

inHEALTH decision support service solution streamlines and supports a variety of business processes, removing the burden of manual intake and claim form  validation in support of medical and disability approval management.  Process efficiency is gained by segmenting low impact claims from high impact claims for a more balanced claim assignment tailoring processes and procedures by claimant need and aligning resources specific to situation. As much as 35-55% of claims adjusters’ time each day can be redirected to value producing activities and improving the quality and consistency of customer service.

Knowledgebase and Business Rules Intelligence

Driving the inHEALTH service solution are a robust knowledgebase and rules intelligence software engine that streamline both triage and claim form decision support workflow. The evolutionary knowledgebase  is a core component of the solution where the outcome factors against the claim form data presented are used to determine approval and exceptions flags resulting in workflow messages used to guide the process. Business rules intelligence include metrics of over 600 rules checking over 1300 conditions across a variety of claims forms critical to medical and disability approval management.

Enable Expertise

inHEALTH service solutions are designed for optimal knowledge transfer to speed the training cycles and enable expertise earlier in the claim by brining experience forward. inHEALTH decision support workflow provides consistency creating a common platform to guide claims teams.

Canadian Owned and Operated

 inHEALTH has focused their expertise on understanding the needs of claims management in the local market. Additionally, as a provider operating in Canada, inHEALTH can guarantee privacy controls over your claimant data and any additional reporting provided with inHEALTH’s services.

Proven Cost Savings

inHEALTH’s solution has consistently provided leading insurance organizations with loss cost savings of up to 65% to reduce the spend on claim form approvals. With further reductions of up to 30% of the insurer examination spend. inHEALTH enables a more proactive management to the many processes associated with accident benefits case management. With a proven track record of in-house claim resolution with more timely use of insurer’s examinations impacting the claim lifecycle and overall claim expenditure.

Service Quality

With inHEALTH’s Claims Intelligence Solution when making medical and disability decision based on recovery there is a reduction of treatment and assessment requests received over the lifecycle of the claim and up to 40% of claims are redirected and resolved within the pre-approved framework guideline.

Timing and Quality Impact on Claims Lifecycle when leveraging inHEALTH’s Claims Intelligence Solution.

Increased Transparency & Improved Claim Assessment Quality

inHEALTH’s, HCAI-compatible decision support workflow services and data repository provides the transparency required to improve decision quality reducing the claim lifecycle and overall claim costs.