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Mahalo OpX Overview

Teams can triage claims, use automated checks, collaborate, and make compliant decisions in one system of record.

01. Triage - Structured claims inbox with full claim context

02. Review - Automated eligibility checks and AI decision support

03. Resolve - Policy compliant outcomes with built-in guardrails

04. Learn - Audit trail, documented outcomes, and claim insights

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Mahalo OpX
Mahalo OpX
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Mahalo

A shared workspace for triage, evidence review, and decisioning.

01. Triage
02. Review
03. Resolve
04. Learn
01. Triage
Manage all claims from a single inbox

OpX helps teams stay organized with centralized, context-rich, and structured claims in one system of record

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Centralized Claims
Centralized Claims
01. Centralized Claims
Centralized claims inbox with dates, assignees, and statuses
Claim Context
Claim Context
02. Claim Context
Customer, product, and policy context attached with every claim
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02. Review
Review claims quicker

OpX empowers teams to move faster with automated checks, clear risk signals, and built-in collaboration tools

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Automation
Automation
01. Automation
Automated eligibility checks and routing based on your claim rules
Confidence Scores
Confidence Scores
02. Confidence Scores
Claim Confidence Score with automated risk flagging and signals
Collaboration
Collaboration
03. Collaboration
Comments, tasks, and assignments to increase internal collboration
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03. Resolve
Complete claims in one workflow

OpX makes it easy to resolve claims inside the claim record, with built-in guardrails that prevent outcomes that violate policy

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Outcome Selection
Outcome Selection
01. Outcome Selection
Outcome selection with required fields and reason codes
Policy Rules
Policy Rules
02. Policy Rules
Built-in guardrails and logic ensure claim decisions meet policy rules
Integrations
Integrations
03. Integrations
Execution actions via third-party integrations directly within the claim
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04. Learn
Make better decisions

OpX captures the full claim story and the data you need

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Claim Timeline
Claim Timeline
01. Claim Timeline
Claim timeline showing what happened, by who, and why
Documented Outcomes
Documented Outcomes
02. Documented Outcomes
Documentation stored with outcomes for compliance
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Learn How Mahalo Can Help

Want to see your workflow in Mahalo? Book a call to walk through your current process together

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