Digital. Dynamic. Dependable.
Transform Provider Experience Across Every Stage of the Journey
Transform healthcare payer operations with our solutions to streamline processes, drive efficiency, ensure compliance, and enhance provider satisfaction. Automate contracting, credentialing, and re-credentialing workflows for faster onboarding. Manage provider data in real-time, simplify dispute resolutions, and reduce manual claims processing. Strengthen compliance, prevent fraud, and empower providers with self-service portals for better engagement and efficiency.
“Newgen has helped us reach a major milestone—98% reduction in claims impact. Moreover, by cutting down pricing templates by over 60%, we have improved efficiency across the board. It’s the result of a dedicated team working seamlessly to simplify processes and ensure compliance with regulatory mandates”
CTO, Top-ranked Health Plan in the US
Ready-to-use Solutions, Built on NewgenONE Platform, for the Provider Journey
Leverage ready-to-use solutions that are highly configured and consist of robust built-in business rules. These solutions typically require minimal implementation time for integration points or any necessary customizations.
Provider Claim Disputes
Provider Appeals
Provider Relations & Complaints
Provider Service Inquiries
Provider Lifecycle Management: Buy All-in-one Pack or Choose an Individual Solution
Low Code Solutions with Accelerator Products
Newgen’s accelerator products are interconnected components designed to fast-track your development projects. With extensive R&D already invested in the foundational elements, these products serve as a ready-to-use base. Developers—yours or ours—can customize them to meet your unique requirements. Together, we deliver a tailored solution quickly, ensuring the final product aligns seamlessly with your timeline and goals.
Claims Automation
SIU & FWA Management
Claims Automation
SIU & FWA Management
Value-added Products for the Provider Journey
Health Plan Mailroom & Content Intelligence
Quality Monitoring and Audit
Regulatory Tracking & Response
Health Plan Regulatory Reporting and Business Intelligence
Health Plan Process Improvement & Root Cause Analysis
Payer Operations Business Process as a Service with AI, ML, and RPA
NewgenONE Leverages the Built-in Capabilities of 4 Primary Platforms
Success Stories
Key Benefits
- Faster and Seamless Provider Onboarding: Streamline provider onboarding and network integration, reducing time and effort required for new provider setup
- Accelerated Credentialing and Compliance: Automate credentialing and compliance checks, ensuring faster processing while meeting industry standards and reducing risks
- Improved Data Accuracy and Integrity: Centralize provider data management to enable real-time updates while maintaining accurate and reliable provider information across all systems
- Enhanced Claims Processing Efficiency: Leverage automation to reduce manual intervention, speeding up claims adjudication and ensuring faster, error-free payments
- Stronger Provider Relationships and Engagement: Empower providers with self-service portals, reducing administrative burdens and delivering better communication
Newgen Delivers Fast Time-to-value
Forrester analyzed the Total Economic Impact™ of Newgen and its low code and cloud-based platform
371 %
return on investment
$29 Mn+
value generated
6 Months
payback
Find Your Winning Strategy with Newgen
Request a demo to explore our solutions for the Payer-Provider Journey.
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