adesso Process Mining App für iHC

Optimisation of the claims management process

The Celonis Process Mining App from adesso

The best of both worlds: The Celonis Process Mining App combines adesso's process mining expertise with the adesso in|sure Health Claims System and offers comprehensive process analyses for your company's claims management.

Visualise your claims handling with dynamic process maps that highlight every step from claim submission to resolution. Identify deviations from the standard process flow, localise the causes of delays and uncover unusual patterns.

  • Seamless connection to in|sure Health Claims: Easy access to all relevant data without additional interfaces or manual effort.
  • Process visualisation: Clear and interactive presentation of the claims process for easy tracking and analysis.
  • Root cause analysis: Precise identification of the causes of problems and bottlenecks within the claims process.
  • Key performance indicators and development: Detailed information on key process indicators such as throughput time, rework rate or dark processing rate, including visualisation of the development of the processes over time.

Your benefits

Added value of an optimised claims process

  • Gain process insights in claims management:
    Understand processes better and recognise hidden patterns and correlations.
  • Identify bottlenecks and inefficiencies:
    Recognise weak points, uncover bottlenecks and make the greatest levers for process optimisation visible.
  • Track process improvements and developments over time:
    Continuous optimisation of processes and holistic transparency so that processes remain efficient.


Functions of the Process Mining App

Process overview

Analyse your processes using process KPIs such as throughput time, dark processing rate or automation and track the development of your process and process optimisations over time.

Payments and services

With the adesso Process Mining App, your employees have an overview of all paid and rejected amounts as well as the treatment times and costs in all processed cases at all times.

Individual case review

All open cases are visible at a glance, as well as the status of each case and the measures to be taken. Detailed views display all relevant information on individual cases and enable further processing of selected cases in iHC.

Process und Case Explorer

The Process Explorer visualises the claims process with all its process steps and helps to identify inefficient variants. This allows optimisation potential to be identified. In addition, a holistic view of all cases and their respective process steps is integrated.




Start optimising your claims management!

The Celonis Process Mining App for claims management offers the opportunity to organise processes efficiently and transparently. With the seamless integration of process data, process visualisation, key performance indicators and root cause analysis, we support the optimisation of claims management!

We look forward to talking to you personally.

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