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Overview

Sagility India Limited is a prominent player in the business process management services sector, focusing on delivering comprehensive solutions to the healthcare and insurance industries. With operations spanning India, Jamaica, the Philippines, the United States, and Colombia, the company has established a strong international presence. Founded in 2021 and headquartered in Bengaluru, India, Sagility India Limited functions under the parent company, Sagility B.V., showcasing a rapid expansion in its service offerings and geographical reach. By focusing on critical areas such as claims management, member engagement, and analytics, the company aims to redefine service delivery within its targeted sectors.

Products and Services

• Claims Cost Containment and Management - Specializing in reducing healthcare and insurance claim costs while ensuring efficient claim processing and payment.
• Member Engagement - Offers tailored communication and support services to enhance the experience of members within healthcare plans.
• Enrolment & Benefits Plan Building - Facilitates the enrolment process and crafts customized benefits plans to meet diverse client needs.
• Payment Integrity and Billing - Ensures accurate billing and payment processes to minimize errors and fraudulent activities.
• Credentialing - Provides comprehensive credential verification services to maintain the integrity and quality of healthcare and insurance providers.
• Clinical and Case Management - Offers services aimed at optimizing patient care through effective clinical and case management strategies.
• Provider Solutions - Delivers a range of services designed to support healthcare providers in improving operational efficiency and patient care.
• Analytics, Front and Back-office, and Data Management Services - Utilizes advanced analytics and data management techniques to improve decision-making and administrative operations.
• Utilization and Care Management - Focuses on the proper use of healthcare services, ensuring patients receive the necessary care while avoiding unnecessary costs.
• Population Health Management - Aims to improve health outcomes for groups of individuals by addressing system-wide health determinants.
• Revenue Cycle Management Functions
  • Financial Clearance - Verifies patient eligibility and secures payment sources for healthcare services.
  • Medical Coding - Accurately categorizes healthcare services for billing purposes using standardized coding systems.
  • Billing - Manages invoicing processes to ensure timely and correct charges for healthcare services.
  • Accounts Receivable Follow-Up - Implements effective strategies for collecting due payments from payers and patients.