Revolutionizing Health Insurance with Advanced Solutions
With our comprehensive range of solutions in digital health, operational transformation, and high-impact consulting, we empower companies to provide personalized, efficient, and knowledgeable care.
What We Do
With Fulcrums state-of-the-art technology we aid health insurance companies in their digital transformation journey, focusing on enhancing patient care excellence while upholding regulatory compliance standards. We endeavor to stay abreast of the latest CMS Medicare and Medicaid guidelines and have built framework that adopt changes easily and quickly.
We have built robust data security measures. With a proven track record in seamlessly integrating healthcare systems, we empower organizations to harness the full potential of FHIR for enhanced collaboration, streamlined workflows, and superior patient care outcomes. Experience a revolution in claims processing efficiency and precision with our AI-driven platform equipped with state-of-the-art NLP algorithms.
How We Help Health Insurers
We address the variety of unique pain points for Health insurers suitable to your size, business model, and target market.
Patient Centric Solutions
We aid health systems through platforms that uphold quality, security, and compliance. Through our meticulous attention to detail and dedication to patient-centered care, we strive to enhance the accessibility and effectiveness of healthcare solutions.
Claims Submission & Adjudication
Our sophisticated algorithms analyze and interpret the complex regulations outlined by CMS, LCDs and NCDs, providing insurers and healthcare providers with actionable insights and guidance on coverage criteria, billing requirements, and reimbursement policies.
Interoperability EHR
We build FHIR-compliant platforms and application programming interfaces (APIs), facilitating seamless integration between disparate healthcare systems, enabling providers to securely access and exchange patient health information in real-time.
AI Driven Solutions
Our AI-driven platform equipped with state-of-the-art NLP algorithms enables conversion of structured and unstructured flat files into data that can be directly consumed for claim processing purposes.
Mobile Platforms
With our expertise in technology and user-centric design, we have developed intuitive and secure mobile applications that empower providers to improve patient outcomes.
FulcrumOne Development Accelerator
Our low-code development accelerator with insurance-specific and cross-industry components ready to use saves clients on average 30% on development time and cost.
Patient Centric Solutions
We aid health systems through platforms that uphold quality, security, and compliance. Through our meticulous attention to detail and dedication to patient-centered care, we strive to enhance the accessibility and effectiveness of healthcare solutions.
Claims Submission & Adjudication
Our sophisticated algorithms analyze and interpret the complex regulations outlined by CMS, LCDs and NCDs, providing insurers and healthcare providers with actionable insights and guidance on coverage criteria, billing requirements, and reimbursement policies.
Interoperability EHR
We build FHIR-compliant platforms and application programming interfaces (APIs), facilitating seamless integration between disparate healthcare systems, enabling providers to securely access and exchange patient health information in real-time.
AI Driven Solutions
Our AI-driven platform equipped with state-of-the-art NLP algorithms enables conversion of structured and unstructured flat files into data that can be directly consumed for claim processing purposes.
Mobile Platforms
With our expertise in technology and user-centric design, we have developed intuitive and secure mobile applications that empower providers to improve patient outcomes.
FulcrumOne Development Accelerator
Our low-code development accelerator with insurance-specific and cross-industry components ready to use saves clients on average 30% on development time and cost.
Our Partners
Trusted SI Partner and collaborator with some of the best in the business. Click on the logos below to find out more.
SortSpoke is a 3rd generation AI/ML data extraction platform, helping businesses increase productivity, decrease risk, and improve turnaround times. Their platform helps increase team productivity, reduce manual errors, and improve their workflow in a few hours.
Amodo is an Insurtech company that helps insurance carriers create usage-based products based on behavioral data collected from smartphones. As a provider of connected insurance, it allows insurers to develop products and services for direct digital channels.
With 18 years continued investment into our Microsoft Practice, Fulcrum Digital are certified Microsoft Gold Partners with a dedicated Centre of Excellence covering all Microsoft technologies including Azure, O365, D365, BizTalk and more.
UiPath is a market leading RPA tool that allows users to automate various aspects of their business operations. As an open-source platform, we’ve utilized UiPath technologies to automate and streamline countless business critical processes in Insurance and beyond.
Socotra provides global insurers with a modern, enterprise-grade core system that enables them to accelerate product development, reduce maintenance costs, and improve customer experiences.
Helps businesses extract value from your data ecosystems using software solutions for Data Management, Data Governance, Data Privacy and Regulatory Compliance.
Don’t take our word for it!
"Fulcrum Digital’s ability to attract and retain top talent has been a key part of our success at DMEscripts. They have been the ideal partner to lead the transformation of our software and to assist us in handling the complexities of the US healthcare system."
Ken Hodel Chief Operating Officer
A Proven Track Record of Customer Satisfaction.
Automated Claims Processing & Handling for Higher ROI
Save Costs and Support Operations with Fulcrum Insurance
Time for a Quick Call?
Speak with our team and learn what we have to offer.
Time for a Quick Call?
Speak with our team and learn what we have to offer.