Healthcare & Pharmaceuticals
Automatically extract data from paper statements and documents to detect overpayments, reconcile records and comparing them against the company’s own records. An auto generated report is then created for analysis.
Pre-Authorisation of Services
ANTstein can gather information from websites and other disparate systems and integrate the information directly into the HIS including submitting for pre-authorisations.
Manage patient's records across multiple systems and process changes with ease. ANTstein ensures all information is synchronised as it links systems, processes and activities on demand in real-time.
Patient Record Storage
ANTstein can capture patient information, share and auto-archive the data with a user interface to update each patient record accurately and consistently in an ongoing basis.
Auto-update the drug registration process by pulling patient's data from disparate systems, updating the system, ordering stock quantities and logging into the Pharmacy stock control system.
Simplify the need to capture patient feedback and surveys. ANTstein can auto-collect and update relevant data from websites, systems, forms or email and ensure that you access fresh and correct data in real time.
Automatically capture signed documents, provide login credentials and access to resources for patient intake, reducing the overall amount onboarding time.
Physician Referral Management
Streamline patient referral management according to diagnosis, location, doctor availability, and other criteria. Provide instant notifications based on patient's preferred method of communication delivery.
Automate record checks which analyse thousands of medical papers using natural language modelling to provide possible diagnoses and inform treatment plans.
Data from spreadsheets or other legacy reporting systems are integrated and merged into a central hub and prescription management is streamlined through the generation, storage and tracking of both internal and external communication.
Streamline electronic transfer of data by automating the sorting and data entry stages of E2B transmissions, validate for accuracy and auto-submit for processing.
Record data, and generate and manage clinical documentation. These documents can be automatically shared with concerned parties for evaluation and approval.
Automate the generation of patient bill statement including Explanation of Benefits (EOB).
ANTstein can be programmed to read, analyse, and understand claims adjudications rules to efficiently process coordination of benefit claims.
Fraud compliance and monitoring
Review current and historical transactions to identify illegal online activities. Acquire, integrate and verify data across multiple channels to detect and flag fraudulent dealings.
At the point of capture, ANTstein automatically classifies materials against a set of criteria to determine the nature of the appeal. It automatically routes all data for review and approval, and when appropriate, creates the correct correspondence – whether an initial acknowledgement letter, a determination letter, or a payment authorisation notice.
Provider License Verification
Automate the process of verifying provider license credentials in several applications to ensure that the data matched and that the providers’ licenses is active.
Revenue Cycle Management
ANTstein can streamline the front-end tasks of the revenue cycle, including registration, patient data collection, eligibility and authorisation, and the calculation, communication and collection of the patient’s portion of the provider’s bill.
Streamline the digitisation, validation, conversion and intelligent routing of paper and digital claims. Eliminate keying errors, automatically identify exceptions, and send only clean claims through the process.