TRUSTED OUTSOURCING PARTNER IN HEALTHCARE
Helping Healthcare Companies
Drive Customer Experience/SatisfactionReduce Admin OverheadImprove Revenue
SHAI combines healthcare expertise with new-age technology to accelerate growth for both Providers & Payers.
SHAI For Providers
Drive operational efficiency, speed up claims submission, reduce denials, improve cash flow, and report on financial health.
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SHAI For Payers
Manage enrollment to settlement. Improve member experience, lower cost, manage risk, and transition to outcome-based services.
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SHAI’s Services Across the US Healthcare Landscape
Physician Services
End-to-end billing support—from demographics entry and prior auth to denial management and collections —driving faster payments and higher First Pass Rates
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Hospital Services
Accurate multi-specialty coding—from clinical documentation and facility coding to claims submission—ensuring clean AR and denial prevention
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Value-Based Care Services
Risk adjustment made seamless—from intake of charts and chart reviews to HCC coding and CMS submission—backed by rigorous audits
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Payer Services
Optimize operations—from enrollment and eligibility to claims adjudication and credentialing—ensuring compliance and fewer disputes
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A Glimpse Under the Hood What We Do
Provider Services
Payer Services
Medical Coding With Multi-Specialty Expertise
Clinical Documentation Support
Claims Error Reduction
Billing Solutions
Patient Intake
Denial Management
Patient Processing
Revenue Integrity
Cash Flow Acceleration
Revenue Reporting and Dashboarding
Financial Predictability
KPI Setting
Prior Auth Intake
Physician Credentialing and Prior Authorization
Claims Process Acceleration
Chart Intake & Reviews
Case and Disease Management
Payment Integrity
Risk Adjustment & Quality Audits
Financial Reporting, Real-time BI Dashboards & Analytics
Payer Correspondence
Insurance Payment Management
Claims Adjudication
Utilization Management
How SHAI Handles Transitions and Quality Assurance
Refresher Sessions and 1:1 Training
Weekly EBTs (Error-Based Trainings) and PKTs (Process Knowledge Tests)
RCA, 5 Whys, Fishbone Analysis, Pareto Chart, and CAPA (Corrective Action Preventive Action)
Proactive Daily Team Huddles With Peer Audits
Periodic Calibrations For Error-Based Improvement
The Numbers Speak For Themselves
98%+
Transaction Accuracy
40-60%
Payroll Cost Reduction
98%
Financial Accuracy
<5%
AR Time Reduction
20%+
Increase in Collections
99%+
Vendor SLA Compliance
<2%
Denial Rate
90%+
Increase in First Pass Rate
95%+
Claims Adjudicated Within 30 days
Secure. Compliant.
A Service Provider You can Trust.
ISO 27001
![HIPAA ,[object Object], compliant](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg2.webp&w=256&q=75)
HIPAA
compliant
![PHI Policy Rigor With ,[object Object], Clean Desk Policy](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg3.webp&w=256&q=75)
PHI Policy Rigor With
Clean Desk Policy
![Purpose-Built SSO ,[object Object], Login and Cloud Infra](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg4.webp&w=256&q=75)
Purpose-Built SSO
Login and Cloud Infra
The SHAI Promise
Not just a trusted healthcare solutions provider, but a reliable business partner who works continuously to drive growth & operational efficiency through talent and tech solutions
STEP 01
Healthcare Business Audit
STEP 02
Gap Analysis
STEP 03
Solutioning Scope with 24-48 Hours TAT
STEP 04
Systematic Monitoring and Feedback Loop
