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YoroClaims

Brand : Yorosis Technologies

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YoroClaims Pricing & Plans

YoroClaims price is available on request

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YoroClaims Features

  • icon_check Claim Intake and Registration This module handles the initial capture of claim data through multiple entry channels like web forms, fax, and digital portals.
  • icon_check No-Code Rules Engine Users can define and update complex business rules for claim adjudication using a web interface without any manual programming.
  • icon_check Data Extraction Integrated Optical Character Recognition technology automatically extracts text and data from scanned claim documents and forms.
  • icon_check Eligibility Verification Automated checks verify member or provider eligibility against database records to ensure the claim is valid before processing.
  • icon_check Audit Trail Every action within the system is recorded in a detailed audit log to maintain transparency and meet strict regulatory demands.
  • icon_check SLA Management The platform tracks response times and processing deadlines to ensure that all claims are handled within agreed service levels.
  • icon_check Role-Based Access Control (RBAC) Administrators assign specific system permissions based on user roles to protect sensitive data and maintain secure operations.
  • icon_check Prior Authorization Tracking This function monitors and validates prior authorization requests against incoming claims to streamline the approval workflows.
  • icon_check Real-Time Analytics Interactive dashboards provide immediate visibility into claim status, processing volumes, and overall operational performance.
  • icon_check Document AI Integration Advanced artificial intelligence models analyze and categorize claim-related documents to improve overall processing accuracy.
  • icon_check API Gateway Management A centralized API gateway handles secure external integrations and controls the data flow between modern and legacy platforms.
  • icon_check Fraud Detection Automated rule-based triggers flag suspicious transactions or anomalies for manual review during the claim evaluation process.
  • icon_check Workflow Orchestration The system coordinates complex sequences of tasks and automated steps to ensure a seamless flow from intake to final settlement.
  • icon_check Customizable Form Users can design and deploy tailored online forms to collect specific data points required for different types of claim filings.

YoroClaims Specifications

  • Supported Platforms :
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  • Suitable For :
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  • Ubuntu Windows MacOS Linux
  • Desktop
  • Web-Based
  • Insurance
  • All Businesses
  • Small Business, Startups, Medium Business, Enterprises, SMBs, SMEs, MSMBs, MSMEs
  • Email, Communities
  • API Integration
  • Videos
  • English

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Yorosis Technologies Company Details

Brand Name Yorosis Technologies
Information YOROSIS Technologies Inc. is a pioneering firm headquartered in Texas, USA, specializing in innovative product development, strategic consulting, and software engineering.
Founded Year 2013
Director/Founders YOROSIS Technologies
Company Size 101-500 Employees

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