Solutions for Health Payers
Streamline Health Payer Operations with Concord’s Cloud Fax and Intelligent Document Processing
Scale efficiencies, reduce operational cost and improve staff productivity.
Concord: Purpose-Built for the Payer Ecosystem
Concord Connect simplifies and streamlines health insurance document processing across the entire enterprise. From the moment a document is received until it’s delivered into department systems, Concord Connect alleviates administrative bottlenecks Payers face daily and facilitates better workflows. Give staff back the time to focus on the members’ experience, versus paperwork.
• Proven healthcare expertise: We serve 3 of the top 5 US Payers
• Secure, compliant, and cloud-native infrastructure
• Reduce manual processing that increases operational cost
• Tech stack modernization: better innovation, interoperability, and adaptability
Modern Fax Solutions for Health
Insurance Organizations
Concord’s cloud fax and digital fax services allow health insurers to modernize without disrupting existing provider workflows.
- Digitally receive and manage high-volume faxes
- Automated routing based on document type
- Secure web-based portal or direct integration into backend systems
- Replace fax servers and reduce overhead with a 100% cloud infrastructure
- Improve visibility with real-time delivery confirmation and audit trails
Accelerate Decisions with Intelligent
Document Processing (IDP)
Concord’s intelligent document processing (IDP) platform automatically classifies and extracts structured data from unstructured documents.
- Identify and extract member information, claim IDs, NPI numbers, and CPT/ICD codes
- Automatically triage and route documents to the correct department
- More efficient processing of prior authorizations and clinical reviews
- Rules-based intake for large volumes of inbound documentation
- Enhance audit readiness with traceability and data normalization
Why Top Payers Trust Concord
- 99% customer retention over 30 years in the industry
- White-glove implementation with an 84 NPS score
- US-based, world-class, 24/7 support team
- Dedicated program team for AI implementation projects
- Proven healthcare expertise: 3 of the top 5 US Payers choose Concord
“It is important that we have a reliable, high-end system that can deliver those very urgent faxes, and do so in a cost-effective manner we can rely on. To know we have a system in place that can handle this fax volume in a secure manner is tremendously important to us. To also know that system operates securely and at a lower cost to us is a real win-win.”
– Tom Leon, Director of Logistics at Wellmark
Take the Next Step Toward Modernizing Payer Document Workflows
Concord Technologies helps healthcare payers reduce complexity, improve document accuracy, and accelerate time to decision.
Frequently Asked Questions
How do health insurance payers typically process inbound documents like prior authorizations, claims, appeals, and clinical attachments?
Health insurance payers manage a high volume of inbound documents across multiple channels, including fax, portals, and scanned uploads. These documents must be received, identified, routed, and delivered into the appropriate department or system, often creating unintentional bottlenecks when manual steps are involved.
How can health plans modernize provider to payer fax workflows without requiring providers to change how they submit documentation?
Many payers modernize fax on the receiving side while allowing providers to continue using fax as they do today. This approach enables digital, cloudbased intake, realtime visibility, and secure handling of documents without disrupting established provider workflows.
Can payer organizations automatically classify inbound documents and route them to the correct department or system?
Yes. Modern payer document workflows use automation and intelligent document processing to identify document types—such as prior authorizations, claim forms, or appeals—and route them automatically to the appropriate team, queue, or system of record for faster processing.
What types of data can intelligent document processing extract from payer documents?
Intelligent document processing can extract structured data from unstructured documents, including member demographics, claim and case identifiers, NPI numbers, CPT/ICD codes, and other key fields. This helps reduce manual data entry while improving accuracy and consistency.
How can payers reduce manual work across utilization management, member services, enrollment, and claims intake?
By automating document intake, classification, data extraction, and routing, payers can eliminate tasks like printing, sorting, indexing, and rekeying. This reduces operational cost and allows staff to focus more on member experience and exception handling.
How do modern payer document workflows integrate faxed or scanned documents into core administrative and claims systems?
Modern solutions deliver documents and extracted data directly into payer systems using APIs, secure file delivery, or EDI workflows. This ensures documents reach the right system, in the right format, without manual intervention or delays.
What is Straight Through Processing (STP) in payer operations, and why is it important for document heavy workflows?
StraightThrough Processing refers to receiving, interpreting, and delivering documents into systems of record with minimal manual touchpoints. For payers handling millions of documents, STP helps shorten processing times, reduce errors, and accelerate time to decision.
How are payers using automation to modernize prior authorization and clinical document intake processes?
Payers are using automation to convert faxed, scanned, and uploaded clinical documentation into structured, actionable data. This supports faster reviews, more consistent decisions, and modernization initiatives by reducing reliance on manual document handling.