Patient Nexus Plus

Multi Program & Product Support Multiple program & Products can be managed in a single platform for better management of patients. This provides a holistic view of data, regardless of which products or programs they are enrolled in to better track them

Hub model We support both inhouse and outsourced hub models to support their patient onboarding and financial assistance programs.

Lead Validation The system automatically highlights the missing information in the lead to ensure appropriate data is filled before conversion.

Territory model Collection of territories that are defined by a set of criteria to auto- assign accounts-owners to territories based on their zip code or state to improve your customer service framework & marketing efforts.

Coverage Benefit Represents the benefits provided to a covered member by a patient’s Insurance plan. This is affiliated with care program enrollee to segregate benefits across different programs, products & services and auto-created once integrated

Prior Authorization Represents the details of pre-authorizations for care under a member’s plan. Associating this information to a care program enrollee helps depict the status of Prior Authorization for a patient enrolled in a specific program

Program Assignment Based on the outcome of benefit investigation, the patients are automatically placed in financial assistance programs considering care program eligibilities & business rules