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Process Mining

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ProcessMiningforContinuousImprovement
IT-based work
Every workflow is supported by IT systems like
Facets, QNXT, SAP, Oracle or Salesforce
Digital Footprints
Detect & reconstruct
digital workflow traces
Full Transparency
Actual process flows are
visualized in real time
Event
Process Mining technology uses digital footprints
of transactions to automatically visualize and
reconstruct the actual process flow
IVR
ACD
Facets
Salesforce

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ProcessExcellence2.0poweredby ProcessMiningFramework
DMAIC
Define, Measure, Analyze, Improve and Control
DDMAICC 2.0
Discover, Define, Measure, Analyze (with AI),
Improve, Control and Compliance
TO
Discover
Optimize
Correct Streamline
RPA
Optimize
Enhance
Monitor
DMAIC, was a helpful
framework in the past
for process excellence
and refers to a data-
driven improvement
cycle used for
improving,
optimizing, and
stabilizing business
processes and
designs.
We utilize the same
framework with the addition
of Discover before Define
and Compliance after Control
to make the process more
reliant and effective. Thus,
DDMAICC 2.0, which stands
for Discover, Define,
Measure, Analyze (with AI),
Improve, Control, and
Compliance helps attain
more effective process
excellence.

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ThePathto Value| Frame,Realize,andSustain
6 7 8
9
5
4 3 2 1
Follow the path to success
Frame
Sustain
Realize
Determine
Improvement Actions
Ensure
Execution
Monitor
Value Realization
Report to
Management
Identify
Opportunity
Qualify
Opportunity
Analyze Root
Causes
Build
Business Case
Prioritize
Opportunities
Data
Connection

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ExecutionManagementSystem(EMS)poweredby ProcessMining
Digital Twin
Execution Gaps
Process Analytics
Identify & analyze process gaps with >170
pre-built Execution Instruments
Quantifiable KPI qualification and
benchmarking
“Digital twin” to help
drive improvements.
KPI Benchmarking
Take intelligent actions in real-time through
Execution Apps
Real-Time, Metrics across all
processes & systems
Benchmark against the best
Drive Transformation
✔ Discover fit with corporate
objectives and analyze
organizational readiness to
focus on most relevant
improvement opportunities
✔ Benchmark internally across
dimensions (e.g. Divisions, Sites,
customers, vendors)
✔ Identify improvement
opportunities for process
transformation & automation
through data driven discovery
Process mining gives an unbiased view of how your processes are being executed. Our Execution Management System (EMS) leverages Process
Mining to measure execution capacity and identify execution gaps, know which gaps have the biggest gap on capacity and the optimal resolutions
for them, and finally act to remove the gaps through automation and recommendations.

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Predicttheconsequencesofprocesschangeswith100%objectivity
Digital Twin Extraction And Configuration Simulation Of Process KPIS And Throughput
What if:
• Increase in AA rate by 1%  impact on throughput, FTEs, and Cost
• Volume increases by 10%  Impact on backlog, throughput, FTE requirements
• Accuracy improves by 0.1%  impact on operational cost, LPI
• New IT fix released in production  impact on key metrics like AA rate
• New medical policy release  impact on auth match, cost, TAT and resources

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AutomatedClaimsProcessDiscovery
Discovery, which takes an event log and produces a process model without using any prior information, only with the help of
Process Mining algorithms.

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ClaimsEMS|ExecutiveControlCenter- ClaimsPerformanceCockpit

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ClaimsEMS|OperationsSteeringView- VisualandDailyManagement

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ClaimsEMS|DailyTaskActionView- High PriorityClaimsInventory

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ClaimsEMS|OperationsSteeringView- VisualandDailyManagement