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Page 1: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

Digital Mailroom

Page 2: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

Digital Mailroom

Rapidly Scale to Rising InventoryDemands and Channel Complexity

As value-based service models create higher document inventories and member enrollments become more demanding,

manually intensive and paper-based tasks become a growing source of revenue loss, member dissatisfaction, as well as

potential for reputational, operational and compliance risk.

Even processes based around electronic documents struggle to control costs, keep up or scale to meet rising claims, appeals,

payment and reimbursement pressures – and the correspondence and document demands of members, providers and

regulators.

Firstsource provides intelligent, data-driven mailroom and document services leveraging intelligent workflow automation that

help Payers:

Powered by our flexible and scalable Sympraxis® Business Processing Management (BPM) platform and business solutions, and

handling millions of paper and digital transactions per month, we serve a wide range of payers and plan product types including

five of the top 10 U.S. health Payers who leverage our digital mailroom services for:

1 24

Inbound digital mailroom processing

Printing and outbound mailing

Document, image and data capture

3 Intelligent, automated workflow

02

Optimize processes with

fewer touch points

Reduce inventory management

and costs

Deliver a consistently

positive customer experience

Improve operational

efficiency and quality

Ensure security and compliance

Page 3: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

Digital Mailroom

Efficient, Accurate and Secure Inbound Processing

To further reduce the cost of scanning and digitization, Firstsource enables Payers to give their providers an instantaneous and

secure way of submitting appeals, medical records, attachments and other correspondence electronically.

Driven by our intuitive SympliSend application, we guarantee delivery of documents and receipt of confirmations to the provider,

ensuring total compliance and end-to-end transparency of submissions on both sides.

Fast and Secure Electronic Provider Submissions

03

Firstsource simplifies and automates mailroom processing

for all input types, including shipped hard copies, mail deliv-

ered to a dedicated P.O. box, and information delivered in a

variety of digital formats – including fax, FTP, email, CD/DVD

sources, web and virtual printer server.

••

Adapts to your specific needs and state/federal requirements

Classifies, sorts, indexes and bar-codes documents based

on your business rules

Ensures accuracy and security throughout processing and

centralized storage

Matches and verifies incoming documents with member

eligibility

Provides providers with secure document submission

Page 4: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

Digital Mailroom

Firstsource accelerates digitization and ensures highly efficient and precise document management by preparing all documents

electronically. To further enhance speed and efficiency, our Sympraxis® Smart Classifier scans millions of pages every month and

classifies documents into forms, letters and data, while our knowledgeable agents handle complex document coding using our

smart wizard, classifier and hint tools. We provide:

Rapid and Accurate Document, Image and Data Capture

Intelligent and rule-driven, robotic process automation (RPA) helps provide the efficiency, speed and accuracy that you require

and regulators demand with immediate and ongoing cost benefits. Through SOP analysis and process design, Firstsource tailors

the document management process to your specific needs. Over time, with the aid of machine learning and artificial intelligence

(AI), the process becomes even more efficient by moving workloads faster through the system with each document processed.

Even as complexity, volumes and growing pressure to enhance quality increases, RPA reduces both the time spent on repetitive

processes and the chance for human error.

Meeting Growing Demands with Machine Learning, AI and RPA

04

High-performance scanning, multi-OCR engines and

parallel processing

Automatic, artificial intelligence-driven document classification

Continuous improvement through Machine Learning and Natural

Language Processing (NLP) technologies

Page 5: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

Digital Mailroom

Integrating Multiple Mailroom and Document Processes

For healthcare Payers currently handling separate mailroom and document processes by product, market or region, Firstsource’s

automated workflow management capabilities can integrate multiple business unit mailroom and document management

processes, and tailor workflows according to the plan’s specific requirements. We provide:

Manually intensive tasks are a cost burden and a quality risk in an industry where efficiency and accuracy are essential.

Firstsource’s proprietary Sympraxis® Automated Workflow streamlines legacy SOPs into intelligent, data-driven operations

that:

Closing the Loop with Printing and Outbound Mailing

Firstsource’s printing and mailing business services help you close the loop on your claims, appeals and payment cycles as well

as member and provider support. Our print and mail operations include:

05

•••

Real-time and offline integration with business applications

Workflow management across multiple systems

Multiple business unit processing

••••

Return and outbound mail handling

Large-scale printing of letters and booklets

Address validation through the U.S. Postal Service database

Integration with UPS Business Services to track and monitor shipments

Make data capture and classification

more efficient

Enables virtual “source of truth” (SOT)

across datasets and platforms

Eliminates the effort of data replication

between systems

ContactSimon CarltonExecutive Vice President, Sales & Marketing(720) 539 5588simon.carlton@na.firstsource.comwww.firstsourcehealthcare.com

Page 6: Digital Mailroom - Firstsource · Digital Mailroom Rapidly Scale to Rising Inventory Demands and Channel Complexity ... Intelligent and rule-driven, robotic process automation (RPA)

PhilippinesIndiaUKUSA

Helping Customers Stay Ahead of the Curve through Transformational Technologies and Capabilities

Firstsource Solutions Limited is a leading provider of customized Business Process Management (BPM) services.Firstsource specializes in helping customers stay ahead of the curve through transformational solutions in orderto reimagine business processes and deliver increased efficiency, deeper insights and superior outcomes.

We are trusted custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippinesand India. Our ‘rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies.