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Insurance Claims Integration with Healthcare EMR
Solution Description:
A financial system deployed across a large healthcare organization was not the primary source of recordkeeping amongst finance teams who worked with health insurers to manage claims and payments. Heavy reliance on Excel spreadsheets caused miscommunications, claims rework and often delayed payments with contracted health insurers. In addition to the inefficient claims management processes, global financial metrics were unavailable due to spreadsheet volume, version control and lack of data access.Watch TAP Innovation Solutions in action!
Challenge:
Automate manual processes and eliminate spreadsheet keeping to ensure accurate insurance claims, timely revenue, and streamline workflow for finance teams.
Number of Locations: 1
Number of Employees: 210
Industries: Healthcare, Senior Care, Accountable Care Organization, Mergers & Acquisitions (M&A)
Solution
This organization looked to bridge connectivity and data flow between their EHR and payer for claim management and proper notifications. When errors occur, teams are notified quickly and errors can be corrected or addressed so there is not a delay in payment or expected revenue. TAP Digital Tools align processes and workflows so this organization can trust their data and permit proper access and data governance. They are able to: * Get the information right and captured in a centralized location * Automate data capture and processes * Bridge connectivity between their EHR and Payer through TAP Digital Tool integration capabilities
Integrated Systems
Categories: EMR, Financial
Brands: GE Centricity
Digital Tools:
APIs, SSIS, C#, Python, Selinium, SQL Server, Web Services, App Service, Azure Functions, RPA, SFTP Servers/Clients