Our Claims360 solution provides an efficient and automated solution for claims adjudication. This system integrates all claims-related data and processes for a 360-degree view of the claims and enables real-time processing and monitoring of claims.
CredsVault offers secure storage and management of sensitive provider credentialing information, making it easier to maintain compliance and minimize risks.
Our WiseLens solution provides advanced data analytics and reporting capabilities to help payers make informed decisions and improve overall operations.
Our Auth360 solution provides a comprehensive utilization management solution that helps payers make informed decisions, improve care quality, and reduce costs.
Our Auth360 prior authorization solution streamlines the prior authorization process, reduces administrative costs, and improves overall efficiency.
CallsDesk is a call center solution designed specifically for healthcare payers. This solution streamlines the call center process and enhances customer service while improving operational efficiency.
MemberDesk is a member portal that provides members with real-time access to their information and benefits and the ability to log disputes and grievances.
Our ProviderDesk solution provides a streamlined and efficient process for managing provider information and interactions, including prior authorization requests and dispute resolution.
Our AI Audit HUB solution leverages predictive analytics and machine learning to identify potential revenue leakage, reduce rework, and improve the payment accuracy of claims.
Learn about RSTACK Solutions' Comprehensive Applications, Consulting, Infrastructure, Cloud, and BPO services
Our application services provide you with the tools and technology you need to streamline your operations...
Our cloud services offer a flexible and scalable infrastructure to support your growing business needs
Our consulting services provide expert guidance and support to help you achieve your business goals
We provide innovative solutions to help healthcare payers improve their operations and deliver better care to their members. Our solutions address the critical challenges payers face, including member enrollment, provider credentialing, and enrollment, claims administration, benefits configuration, and utilization management.
Our member services solutions help healthcare payers to streamline and automate their enrollment process, premium billing and reconciliation, CRM and ticketing, and member call center operations. We also offer a member portal and a mobile healthcare app to help members easily access their information and manage their healthcare.
Our provider credentialing and enrollment solutions, powered by CredVault, help healthcare payers to manage the entire provider credentialing and enrollment process from end to end. With CredVault, payers can quickly and easily manage provider data, maintain an up-to-date provider directory, and configure their provider network and contracts.
Our claims administration solutions, powered by Claims360, help healthcare payers to manage the entire claims adjudication process from start to finish. With Claims360, payers can automate their claims processing, benefits management, repricing, claims rework, and grievance and appeal processes. Additionally, our AI Audit solution provides predictive audit review and sampling, stratified/sampling audit methodology, and analytics to help payers identify and address potential issues in their claims processing.
Our benefits solutions help healthcare payers to efficiently configure and manage their benefits, including service code grouping and qualification, benefit product testing, and adjustment code mapping (CARC/RARC).
Our utilization management solutions help healthcare payers manage prior authorization and concurrent and retro authorization processes. Payers can streamline and automate these processes with our solutions, resulting in improved efficiency and cost savings.
RSTACK's Payer Solutions help healthcare payers to improve their operations and better serve their members. Contact us today to learn more about how we can help you reach your goals.
