ImagineInsights

An SaaS-based product — ImagineInsights — that enables our partners to be well-prepared and informed to go to the negotiating table with payers. By utilizing this payment analytics solution as an extension of their organization, our goal is for providers to receive a favorable outcome during the arbitration process, thereby achieving a higher reimbursement rate.

One way ImagineInsights aids providers in a successful IDR result is by giving providers the ability to examine their average payments by metropolitan statistical area (MSSA) and core-based statistical area (CBSA). Once this data is procured, medical practices are able to compare the payments they're receiving to those in similar regions, drill down to the procedure and payment level and conduct a side-by-side comparison.

Another feature of ImagineInsights is that it allows providers to break down how much money they're receiving directly from a payer and, subsequently, how much the patient owes. It notes average payment with denials, enabling them to track payers that continually deny reimbursement. By utilizing this data to shift strategies as necessary, medical practices can focus on working with payers that provide them with better value.

- Real-time access to reimbursement information
- Consolidated dashboard of key performance indicators
- Actively review average amounts paid by payers/procedures
- Compare variances in reimbursement across different payers and geographic regions
- See your payment averages & volumes against the remainder of the healthcare landscape
- Evaluate reimbursement of paid amounts with patient responsibility & paid amounts without patient responsibility