PowerQueue AWD

Getting the right information to the right people at the right time can be an impossible task in many healthcare claims adjudication systems, yet this is precisely what DST Health Solution's (DSTHS) PowerQueue AWD® business component is designed to do with elegance and simplicity. It is enabled by AWD, a business process management solution proven in many industries.

• PowerQueue AWD improves claim workflow by automating the pended-claim resolution process, distributing the right claim to the right health plan employee for efficient processing.
• PowerQueue AWD sophisticated navigation capability provides quick, easy access to customer and transaction related information residing in your core managed care system, delivering meaningful information to your health plan employees in real-time.
• PowerQueue AWD assists your customer service department in resolving and tracking customer inquiries and automates routing of issues.

Maximizing BPM Potential

PowerQueue AWD unleashes the power of BPM:

PowerQueue also gives you up-to-the-minute status on claims inventory; a snapshot of claims by individual queue and a summary by department or major categories; claims inventory by age to allow escalation and redirection of work when a queue gets overloaded; ability for supervisors to view issues to ensure that turnaround on critical items is being handled; and the ability to run specific queries to view issues by group, date, issue type, user and status.

• Combines human-based workflow with robust process management and automation
• Empowers business users to define workflows, therefore eliminating extensive programming
• Delivers an integrated call center desktop that extends BPM to real-time interactions
• Provides 360-degree, real-time view of your business processes with robust business intelligence and process analysis tools
• Enables seamless application integration through open, XML-based architecture

Through its multi-channel capture subsystem (scanning, electronic receipt of faxes, e-mail integration, Web interfaces), PowerQueue AWD manages data regardless of incoming format. Advanced workflow distributes tasks to users and grants control to supervisors to improve business activities with access to real-time and historical data.

For info on Claims Processing & Plan Services: inforequests@dsthealthsolutions.com.