Our Core Services

Healthcare Consulting

OSP’s team of experienced healthcare experts offers quality healthcare consulting services for providers and health plans. Our team includes experts on enterprise software platforms, US government programs, digital innovation, and business operations.

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Enterprise Applications

OSP is proficient and experienced in building robust enterprise applications to address your complex and sophisticated software needs and execute your digital transformation lifecycle. We have comprehensive customized tools to solve your healthcare challenge.

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Healthcare Solutions Enhancement

Optimizing the healthcare system is essential for better productivity and quality performance. OSP’s team of developers can enhance and upgrade the healthcare solutions in modules, security, or interoperability sections with new custom components.

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Dedicated Quality Assurance

OSP’s QA team can resolve the challenges of disrupted workflow and application safety. We offer assurance in product quality with multiple levels of quality testing, including usability, performance, localization, and security testing.

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Reimagine The Way You Address Health Plans Challenges

Improve Member Experience

Create a positive user experience to improve patient satisfaction and increase ROI.

Enhance Payer Capabilities

Build and lead a team that is dedicated and equipped to provide the best health plans to consumers.

Reduce Cost of Care

Lower healthcare costs with our innovative and unique customized health plan solutions.

Delivering Modern Health Plans Solutions

Patient Safety and Quality

Manage and measure the risk quality and compliance to improve patient safety and satisfaction.

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Advanced Analytics and Insights

Transforming data into timely, actionable insights to recognize performance enhancements and evaluate effective care.

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Community Health Management

Leverage deep data insights and health tech to pinpoint social determinants of health(SODH) and drive positive community health outcomes.

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Our Core Health Plans Software Solutions

Medical Claims Management
Risk Adjustment/Adjudication
Collaborative Care Management
Provider Network Management
Fraud, Waste, and Abuse Management

medical claims management

Claims management software solutions help organizations create and deploy automated and agile claims management processes for full-proof claims processing. OSP offers a customized medical claims management solution that seamlessly integrates multiple complex systems, platforms, and manual processes. Our medical claims processing software solutions are equipped with intelligent integration abilities that perfectly synergy with existing administration systems and future cloud-based innovations. We can tailor medical claims management solutions to help check for coding and billing errors, sending an EOB, pre-adjudicating the claim for accuracy, and more.

Risk Adjustment/Adjudication

OSP’s healthcare risk management software solutions offer users powerful insights to assess potential liabilities and eliminate the need for sourcing services and technology from multiple vendors. Our healthcare risk adjustment solutions have become increasingly relevant as the latest health reforms have redefined the worth plans to conduct business. We provide an integrated set of tools that offer suspect targeting, data validation, encounter data submission, risk trending, suspect analytics, and more. OSP’s medical risk adjustment & reimbursement solutions offer financial understanding by identifying and prioritizing claims by the liabilities involved and positively impacting the revenue.

Collaborative Care Management

Collaborative care management software solutions have proved to effectively deliver integrated care and promote self-management among patients. They also play a potential role in improving health outcomes. In the current qualitative value-based care management model, collaborative care management software solutions ensure qualitative and 360-degree assistance to the patients. We develop platforms to empower patients to take charge of their health management. OSP’s collaborative care management solution also helps to strengthen the foundation of trust and value by establishing fruitful collaborations amongst patients and payers.

Provider Network Management

Healthcare payers work with providers closely to ensure members get appropriate treatment at the right cost. Provider network management encompasses various components, from checking if the provider is in-network for members or managing pricing for a given clinical procedure. OSP can engineer the next-gen healthcare provider network management system to help with accurate provider data. Improved relationships with providers, increased member satisfaction due to coverage, and cost transparency are the top benefits of our provider network management software. OSP’s dedicated team strives to build advanced provider network management software solutions that eliminate the risk of fines and increase ratings from government regulatory agencies.

Fraud, Waste, and Abuse Management

Fraudulent healthcare claims, waste, and abuse increase the burden of medical costs on everybody. OSP creates customized medical fraud detection software to address this issue by automating the healthcare fraud detection process. Our custom-build healthcare fraud detection software employs a comprehensive approach and consistent high-performing metrics dashboards to avoid low integrity medical billing errors and potential healthcare frauds in their nascent stages. Our medical fraud prevention software skilfully flags claims instantly. We can build fraud prevention software that is instrumental in detecting probable fraudulent claims and safeguarding your business revenue.

health Plans Solutions : Focus Areas

Data Mining Software Solutions

OSP’s healthcare data mining software solutions help payer organizations control costs and increase profitability by helping to adapt to the significant changes in the healthcare sector. Our healthcare data mining solutions are custom-made to meet the unique goals of the value-based healthcare system.

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Healthcare Payer Analytics

OSP’s healthcare payer software solutions help healthcare payers to improve patient care cost-effectively. Our healthcare payer analytics software helps payers determine areas of improvement in patient care and implement innovative strategies to engage high-risk patients.

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Health Intelligence Analytics Software

The large-scale data generated daily in the healthcare sector needs to be refined and interpreted into relevant information. OSP’s’ Health Intelligence Analytics Solutions helps companies from the healthcare domain to glean this massive data and offer invaluable insights to enhance the industry's performance and save lives.

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Health Insurance Analytics

The US healthcare sector deals with complex data, including electronic records and medical insurance claims. OSP’s insurance analytics helps insurers identify external trends that can affect their claim outcomes, increase the insurance claim data processing time, and lower the processing cost.

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Payer Administration Software

The payer organizations in the healthcare domain face significant business challenges such as growing margin pressure, cut-throat competition, and the confluence of providers into the health insurance space. OSP’s payer administration management software solutions deliver trusted enterprise-grade administration and claim management platform solutions to healthcare payers.

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Payer Cost Containment

The traditional reimbursement models in healthcare are facing paramount transformation to mutually beneficial healthcare cost management solutions. OSP’s payer cost containment solutions empower the payer organizations with robust knowledge management and utilization of leading medicare benchmarking tools.

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Our Happy Customers

Charlie Langdon

Founder, CEO, & Inventor Vault Data Financial Services Software

We have worked closely with OSP for two years, meeting twice a week to work through development requirements, strategy, design, progress, and support. OSP has become an integral part of our business, and our mutual teams work together as one team. OSP tackles problems that arise with integrity and operate with respect for budgeting.

bert lurch

Yes, I would certainly recommend their services because they were diligent and the offered price was very reasonable which is a challenge these days to get a great product at excellent pricing.

Stephen Carter

We’ve reached out and found companies like OSP to create our technology. This is my first time working with a company that has been so thorough. These guys are amazing. If you really are looking for someone for a technology solution, these guys are the real deal.

Selita Jansen

We reached out to OSP to provide an estimate on a technology solution we were interested in developing. From the initial conversation, the team was professional, courteous, and thorough. We were able to make a quick decision to move forward with OSP because we were confident that our requirements were accurately captured and the development deliverables and associated costs were clear. The OSP development team stayed on schedule and within budget throughout the build phase and provided weekly communications to keep our team informed along the way. If we require application development in the future, OSP will be the first call we make.

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Health Plans Solutions

Our Core Services

Healthcare Consulting

Enterprise Applications

Healthcare Solutions Enhancement

Dedicated Quality Assurance

Reimagine The Way You Address Health Plans Challenges

Improve Member Experience

Enhance Payer Capabilities

Reduce Cost of Care

Delivering Modern Health Plans Solutions

Patient Safety and Quality

Advanced Analytics and Insights

Community Health Management

Our Core Health Plans Software Solutions

medical claims management

Risk Adjustment/Adjudication

Collaborative Care Management

Provider Network Management

Fraud, Waste, and Abuse Management