Sonata Software's seamless claims administration solutions and industry-proven frameworks aim to streamline and automate these processes, ensuring accurate and timely claims processing while minimizing errors and improving operational efficiency.
Provider Engagement & Credentialing
Our solutions enable payers to engage with providers and streamline the credentialing process, reducing administrative burden and improving compliance.
Provider Network Management
Sonata offers end-to-end solutions for managing provider networks, including contract management, claims processing, and performance assessment.
Revenue Cycle Management
Our revenue cycle management solutions help payers optimize claims processing and improve financial performance while reducing administrative overhead.
Business Process Improvement
Sonata's business process improvement solutions help payers identify and eliminate inefficiencies in their operations, improving productivity and reducing costs.
Encounters & PDE Management
Our solutions enable payers to manage encounters and PDE data, improving compliance and optimizing revenue.
MSP Validation
Sonata's MSP validation solutions help payers identify and manage Medicare Secondary Payer (MSP) cases, ensuring compliance and reducing financial risk.
Pricing Management
We offer solutions to help payers optimize pricing and improve financial performance while maintaining compliance with regulations.
Financial Reconciliation
Our financial reconciliation solutions help payers manage financial transactions and improve accuracy, reducing errors and improving compliance.
Claims Processing / Medicare / Medicaid
Sonata offers end-to-end solutions for claims processing, including Medicare and Medicaid claims management.
Performance Assessment
Our performance assessment solutions help payers track and measure performance metrics, identifying areas for improvement and optimizing operations.
Medical Management
We offer solutions to help payers manage medical costs, including utilization management, disease management, and case management.
Risk Adjustment & Revenue Optimization
Our risk adjustment and revenue optimization solutions help payers identify and manage risk, optimizing revenue and improving financial performance.
