Transform Operations and Enhance Care Delivery
iConniX Health Solutions, Mastek’s comprehensive GenAI platform for Healthcare industry, is designed to revolutionize business operations for payers and providers.
From automating document-heavy processes to enhancing decision-making and improving member engagement, iConniX Health leverages cutting-edge AI, machine learning, and natural language processing to streamline workflows, reduce costs, and ensure compliance.
With our tailored solutions, healthcare organizations can enhance operational efficiency, improve patient care, and achieve significant cost savings while delivering personalized, data-driven healthcare outcomes.
iConniX Health Solutions: Driving Excellence
The iConniX Health Suite is Mastek’s all-in-one Gen AI platform tailored to optimize and automate key healthcare processes, from claims and enrollment automation to real-time diagnostics.
Intelligent Document Processing (IDP)
IDP is revolutionizing healthcare by automating document-heavy tasks like claims processing, provider credentialing, and member enrollment. With AI, ML, and NLP technologies, it eliminates manual intervention, reduces errors, and boosts efficiency across the board.
Solution Assets
- Paper Enrollments
- Paper Claims
- Fax-Based Authorizations
- Clinical Notes
- Health Risk Assessment
- Hospital Invoices
Key Features
- Handwritten Text Recognition
- Text Overflow Handling
- Checkbox Recognition
- Noise Reduction for Scans
- Flexible Format Support
Outcomes
- Automate 40% of repetitive tasks
- 99% document accuracy
- Comply with regulations
- Save time and cut costs
AI-driven Content Solutions
iConniX Health’s AI-powered Content handling solutions dramatically reduces the time required for payers to review, summarize and simplify information critical documents such as underwriting forms, credentialing and other legal documents. With GenAI, our solutions deliver precision, enabling payers to streamline processes and ensure compliance efficiently.
Solution Assets
- Explanation of Benefits
- Explanation of Payments
- SBC / Evidence of Coverage
- Underwriting Docs
- CMS / BCBS Mandates
- Legal Documents
- Provider Credentialing Docs
- Broker Credentialing Docs
Key Features
- Full Document vs Selective Summarization
- Metadata Extraction
- Compliance & Legal Summarization
- Keyword-Based Summarization
- Multi-Lingual Summarization
Outcomes
- Reduce review times by 85%
- Save $5-20M annually
- Ensure regulatory compliance
- Streamline operational efficiency
Decision Processing Automation
Our Decision Processing Automation enhances decision-making in healthcare by routing cases to appropriate staff, detecting fraud, and prioritizing patient care. Our solutions are powered by GenAI reduces manual reviews and improves outcomes for payers and providers.
Solution Assets
- Automated Case Routing to Nurses
- Duplicate Claims Prediction
- Fraudulent Claims Prediction
- Predict Health Risk Score
- Automated CSR Assignment
- Classify Member MDM fallouts
Key Features
- AI-Based Case Routing
- Fraudulent & Duplicate Claims Detection
- Predictive Modeling for Health Risk Scores
- Automated CSR Assignment
Outcomes
- 50-80% reduction in manual tasks
- Save $1-3M annually
- Improve decision accuracy
- Faster resolution times
Chatbots and Virtual Agents
Our AI-powered Chatbots and Virtual Agents are transforming payer-provider interactions by automating routine tasks like member inquiries, claims status checks, and provider support. Improve patient and member engagement while significantly cutting operational costs.
Solution Assets
- Member Portal Chat
- Customer Service Representative (CSR) assistant
- Provider Assist Chatbot
- Personal Health Assistant
- Product Selection Assistant
Key Features
- Member Portal Chat
- Customer Service Representative Assistant
- Personal Health Assistant
- Medical Policy Assistant
- Provider Assist Chatbot
Outcomes
- Reduce manual interactions by 30-60%
- Save $400K-$3M annually
- Boost member satisfaction by 20-40%
- Improve compliance and accuracy
Personalized Digital Experience
Our iConniX Health platform personalizes healthcare interactions, providing tailored experiences for members, providers, and brokers. Leveraging AI-driven insights, it enhances satisfaction, improves health outcomes, and drives operational efficiency.
Solution Assets
- Call / Chat Sentiment Analysis
- Personalized PCP Recommendations
- Personalized Wellness / Buyup recommendations
- Personalized Member Education videos
- Personalized Care Plan Assignment
Key Features
- Data Consolidation
- AI-Powered Personalization
- User-Friendly Interfaces
- Feedback Loops
Outcomes
- Increase engagement by 15%
- Reduce costs of chronic conditions by 20%
- Improve health outcomes
- Boost member retention
Leading the way in AI-Enabled Healthcare
Mastek is a global leader in AI-powered healthcare transformation, offering innovative solutions through the iConniX Health Suite.
Our GenAI-driven platform helps healthcare payers streamline operations, reduce costs, and enhance patient care.
With demo-ready solutions, Mastek delivers immediate insights to navigate healthcare complexities, ensuring compliance and improving decision-making for faster, smarter outcomes.