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Eclantiqx Healthcare Services

Eclantiqx partners with healthcare providers, payers, and life sciences organizations to modernize patient care, optimize clinical and administrative workflows, and ensure regulatory compliance through Pega’s low-code Digital Process Automation platform and deep healthcare expertise.

Patient Engagement & Digital Front Door

  • Unified Patient Portal: Provide self-service appointment scheduling, records access, and secure messaging.
  • Digital Triage & Intake: Use AI-guided assessments and eForms for symptom checking and pre-visit data capture.
  • Telehealth Integration: Seamlessly connect virtual care platforms with EHR workflows.
  • Automated Outreach & Reminders: Trigger personalized notifications for appointments, screenings, and follow-ups.
Young adult at hospital reception talking to medical team, discussing about checkup appointment with nurse and receptionist. Male patient in waiting room area during covid 19 pandemic.
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Population Health & Care Management

  • Risk Stratification Engines: Identify high-risk cohorts using predictive analytics and claims data.
  • Care Coordination Workflows: Automate referrals, care team collaboration, and closed-loop communication.
  • Remote Patient Monitoring: Integrate IoT and wearable data for proactive intervention workflows.
  • Social Determinants Integration: Capture and address factors like housing, food security, and transportation barriers.

Clinical Operations & Workflow Automation

  • EHR & System Integration: Orchestrate orders, results, and documentation across multiple clinical systems.
  • Order & Protocol Orchestration: Automate order sets, clinical protocol adherence, and alerts.
  • Staffing & Scheduling Optimization: Use rule-based allocation and real-time adjustments to match demand.
  • Automated Care Pathways: Standardize treatment plans with conditional workflows for guideline compliance.

Revenue Cycle Management & Billing

  • Automated Eligibility Verification: Real-time insurance checks and pre-authorization workflows.
  • Claims Submission & Tracking: Automate generation, scrubbing, and status follow-up for claims.
  • Dental Management Automation: Identify root causes, route appeals, and track outcomes.
  • Patient Billing & Payment Portals: Offer self-service statements, payment plans, and digital wallets.

Compliance, Risk & Quality Management

  • Regulatory Reporting Factory: Generate and file reports for CMS, HIPAA, and joint commission requirements.
  • Quality Measure Automation: Track HEDIS, PQRS, and other performance metrics with automated data collection.
  • Audit-Ready Documentation: Maintain immutable logs and evidence for clinical and financial audits.
  • Incident & Safety Reporting: Automate adverse event capture, investigation workflows, and corrective actions.

Whether you’re a startup or an enterprise, we partner with you to co-create solutions that are bold, adaptive, and future-proof.

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