Benefit Calculation and Payment

Once teams have analyzed and approved a claim, manual work remains to calculate the final benefit amount based on the policy details, claim amount and eligibility determination. The information must be validated, often across systems, and payment must be initiated before the claim can be closed.

WorkFusion can help automate 50% of this work by finding and validating critical data points and initiate payment steps, which allows teams to process more claims and give focus to more complex cases.

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