AI-Based Rule Engine that results in cleaner claims
Why Thynk
لماذا تختار ثينك
THYNK is a fully integrated AI-based real-time rules edit engine that supports medical billing processes for immediate tangible financial value. It detects policy violations in real-time at each touchpoint of the patient’s journey.
FEATURES & BENEFITS
الميزات والفوائد
Our Rule Content Includes & Supports
Payer
Adjudication logic and patterns related to the specific insurance practice including patient policy or network rules, medical reviews, card formats, and policy benefits linked to claimed services
Medical Necessity:
Rules that review all claim medical activities and identity services that may be subject to lack of medical necessity support on evidence-based clinical standards of care
Billing
Enforcing regulator and contractual billing protocols including verification of medical services fees, mandatory lab results or supporting notes, patient share such as deductible and co-payment, follow-up visits, per-diem, and Diagnosis Related Grouper (DRG) rules
General
Custom rules that can accommodate any provider-specific rules related to business practice or payer-specific agreed contractual terms
Workflow:
Rules related to auto-routing of claims based on defined business workflows related to quality audits or authority matrix for review and approval of complex cases or high value claims
PLANS & PACKAGES
الخطط والحزم
All our solutions are based on flexible pricing plans to suit a wide variety of business needs