Transcript
[0:02]
In healthcare operations, appeals are among the most complex, time-intensive processes. Teams rely on manual effort, disconnected systems, and lengthy review cycles daily. Sagility’s AI-powered SmarTec Appeals Assist transforms this experience end to end, automating up to 80% of 200,000+ monthly documents with 98% accuracy.
[0:29]
AI streamlines pre- and post-service appeals in one solution. Verified continuously by human intelligence, AI-powered orchestration translates an organization’s standard operating procedure into clear, step by step guidance for every process.
[0:46]
SmarTec Appeals Assist classifies, converts, and structures disparate information using automation and character recognition to create organized case files without any manual data entry. As the system learns, accuracy increases, and AI handles up to 95% of the heavy lifting, allowing humans to focus on the highest value work: making the right determination.
[1:12]
The impact is real. One large client processing over 100,000 intake materials per month, relied on manual routing and fragmented systems, causing slow turnarounds and star rating pressure. However, with Sagility’s SmarTec Appeals Assist, the client achieved a 40% increase in productivity. When another client automated appeals intake, identified urgent versus standard cases, flagged misroutes early, and saw a 40% reduction in costs.
[1:45]
With Sagility’s SmarTec Appeals Assist, healthcare organizations transform a once manual, error-prone process into an intelligent, streamlined workflow, accelerating resolution, improving quality and elevating the provider experience. Simplify complexity, empower people, transform outcomes.
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