SysVision consulting solutions focus on Medical Cost Management and operations optimization for Healthcare Payers in the US and globally. We help our clients with a multi-dimensional approach on addressing problems through innovative application of information technology.

• Provider network optimization through data analytics to identify the optimal provider network in the individual insurance marketplace
• Help our clients identify and implement solutions to reduce waste and abuse in the medical claims. These include optimized dupe checks, Medically unlikely events, DRG unbundling and contract compliance.
• Develop and implement a business rules engine for automatic application of algorithms to prevent wasteful medical spending.
• Deign custom solutions for work management and optimization of business process for claims adjudication and processing.