Process Mining for Health Plan Operators
Automate Operational Processes with Upflux Process Mining
Map the beneficiary’s journey, optimize audit processes by identifying fraud, waste, diversion and overuse.
More assertive and efficient auditing with Process Mining
UpFlux automatically recognizes non-conformities in medical bills, signaling to the auditor items that are in violation of defined rules, directing their eyes to where they are really needed.
The platform gives greater autonomy to the auditor, since IT action is not necessary to define the rules for automatic and fatal disallowances, reducing repetitive work.
How UpFlux Can Help
Map the audit process and measure process productivity.
Set standards to be followed and the UpFlux platform will notify you when there is a violation.
Reduction of repetitive work
Identify waste and repetitive work in real time.
Reduce repetitive work
Gain speed by viewing only what is needed for the audit, identifying violations and informational criticisms, helping the auditor in decision making.
With UpFlux, it is possible to assess the performance of the retrospective audit and the team’s avoided cost, identifying the biggest causes of non-compliances and comparing the productivity of automation and auditors.
in cost-cutting opportunities
of increased team productivity
of reduction of non-conformities
of delay reduction of demands
Native connections with UpFlux Process Mining
Learn how to improve the operational efficiency of your processes
Our mission is to collaborate in building processes with efficiency and quality, reducing inefficiencies and generating gains in cost reduction and increased customer experience.
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