Fostering Innovation & Integration

By A Digitalized HEALTHCARE Insurance Industry

Digital First Focus

Rising consumer expectations and rapid convergence is making the healthcare industry shift towards the era of digital innovation. By leveraging digital technologies, we bring value while delivering bespoke, intelligent, and future-driven services. Tetrasoft collaborates with healthcare enterprises to transform operations, improve the payer-provider relationship, embrace an agile mindset, and accelerate better outcomes and beyond.

Business Services

The Hurdles Of The Healthcare Industry
In The Face of Digital Journey

Requirements of enhanced customer experiences, increased Cost of Care, new data-driven cutting-edge technologies, improved health intelligence and analytics, and evolving regulatory compliance - have all brought in the need to digitally equip the healthcare insurance industry.

Cybersecurity
Risks

Mobile device exploits, ransomware, and cloud-based data breaches are only some of the risks faced by the healthcare sector. Since the sector relies on storing and using, a large amount of information on policyholders, they are the easy targets for cybercrimes.

 

 

Invoicing and Payment Processing

The industry faces challenges of absorbing the existing administration cost, negotiating terms with payment processors, and following strict guidelines to protect the insured’s information while adopting invoicing and payment processing systems.

 

 

 

Pricing and Non-Transparency

The confusion with price transparency makes insurers struggle with financial responsibility and paying it off. This often leads to surprising billing issues and patient confusion. Also, with rising patient awareness, the industry may have low potential insured if their pricing transparency is not made public soon.

InEffective Payment Model

The association of financial incentives with service quantities rather than patient outcomes significantly mitigates service quality and increases the overall expenditure. While adopting to focus on patient outcomes, the sector encounters the issues of new metrics for measuring Return On Investments (ROI) and performance.

Big Data

Generating accurate insights and harnessing the power of data becomes a hurdle while transferring to another insurance plan or healthcare provider. This can be attributed to the large amount of healthcare data that is generated for each insured individual. These data are scattered across diverse parties and systems.

 

Our Offerings To Meet The Challenges Of
The Healthcare Insurance Industry

Digital First Approach

Our payers enjoy the benefits of our digital-first approach. This helps customers in their blue-chip digital approaches. These approaches help clients achieve digital transformation and ensure innovation, getting them future-ready. In this approach, we provide enterprise solutions across diverse platforms that have interoperable abilities. These platforms comprise data, insights, analytics, and cutting-edge digital technologies across businesses

Accelerating Digital Technologies

Our scalable and agile team of domain experts help clients by accelerating digital technologies to meet the customized requirements of enterprises and build a custom digital roadmap for the client. These state-of-the-art technologies become catalysts to the achievement of the client’s digital goals. To support this approach, we collaborate with the digital roadmap of our clients to transform it into an outcome-based and managed service model. This enhances the productivity and quality of the delivery system.

Investments in Developing Tools, COEs

Our scalable and agile team of domain experts help clients by accelerating digital technologies to meet the customized requirements of enterprises and build a custom digital roadmap for the client. These state-of-the-art technologies become catalysts to the achievement of the client’s digital goals. To support this approach, we collaborate with the digital roadmap of our clients to transform it into an outcome-based and managed service model. This enhances the productivity and quality of the delivery system.

Collaboration with the Payers

We acknowledge the client’s tailored requirements as per their industry-demands. We, thus, invest considerably in developing COEs, the latest technological tools, and the expansion of technological and service partnership networks.

Customer-based Digital Roadmap

As a strategic partner, we align with the client’s business goals to conjoin their Digital transformation initiatives. We build solutions to initiate a collaborative approach and accelerate their visionary possibilities. We develop a structured framework for creative ideation and bring value addition to the client. As the healthcare sector modernizes with digital advancements, cloud providers offer serverless platforms for convenient deployment. A faster market time and greater agility earmarks the automated model-deployment platforms. Our game-changing new data architectures over futuristic platforms offer clients a new digital perspective.

Our Key Areas of Expertise

Business
Intelligence & Analytics
Pharmacy Benefit
Management (PBM)
Member
Experience
Care
Management
Call Center
Enhancements
Provider
Insights

 

Why Choose Tetrasoft To Digitally Equip
Your Healthcare Insurance Industry

As we take part in the various strategic initiatives along with US federal (HHS) and CMS programs, it fuels our integrated consulting capability to ensure client-centric innovation. Our focus is primarily on operational efficiencies, customer service, and risk reduction to bring cost-effective and incremental services. Our services meet the diverse hurdles that the sector faces during their journey to be digitally transformed and takes into consideration the inclusion of Artificial Intelligence (AI) and machine learning in the healthcare sector.

01
Client Engagement

Ensuring that our clients grow capable of flexible engagement and commercial models that help promote confidence-building among them.

02
Customer Communication

Helping clients stay focused on their internal communication to build upon the organization’s experience for their existing engagements.

03
Domain Expertise

Exercising domain expertise to create a distinct market impact with scaled customer relationships in the healthcare insurance sector.

04
Strengthening Healthcare Sector

Building a strengthened healthcare sector presence and establishing the client’s domain expertise in the payer segment via abilities gained in business cases.

Business Services
Rama Eyunni,

Chief Executive Officer - Tetrasoft Inc.

Our organization has been pioneering the healthcare insurance sector for over a couple of decades now. Our expertise extends to ensuring client satisfaction and a simultaneous fostering of innovation via futuristic technologies. We believe and strive to bring in a complete digital metamorphosis to the industry in the near future to meet the operational efficiency and time restraints.

Our Client Stories

Our expertise in the field helped us offer customized services to enterprises involved in the healthcare sector.

Convenient Merging Of Membership Data Using Multi-Field Unique Key Methodology

We resolved redundancy and inconsistency issues in reports faced by the enterprise via our in-house application that is equipped with a multi-field unique key methodology.

Business Services

Contact

United States

Corporate Headquarters
Tetrasoft Inc.
16100, Swingley Ridge Rd,
Chesterfield, MO, 63017.

India

Tetrasoft India Pvt. Ltd.
Plot Number - 6, Sector - III, HUDA Techno Enclave, Hitech City Rd, Hyderabad, Telangana - 500081.

Call

+1 (877) 7225583 (US)
+91 (040) 67551555 (IN)

Contact Us
ENGINEERING DIGITAL EXPERIENCES