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Healthcare Insurance Verification Process Integration and Automation
Solution Description:
A global eyecare technology provider processes approximately 50,000 medical claims per month for vision practices through third-party vendors. This organization needed automation in claims management to eliminate human error, reduce per-claim processing costs and generate efficiencies. Medical Claims Automation powered by Robotic Process Automation (RPA) enabled this customer to increase profitability, save over 35% per claim in processing costs and enable quick onboarding of future bulk claims.Watch TAP Innovation Solutions in action!
Challenge:
Incomplete, inaccurate claims information causes manual interventions that delay revenue and prevent new claims from being processed timely. An eyecare medical claims processor lacked automation with a costly outsourced model to process vision claims, and quickly realized processing errors, delays and backlogs were abundant. Business objectives included: Reduce per-claim processing cost Increase profitability Replace manual processes to realize revenue sooner Find a scalable solution to support bulk claims as the business scales in size
Accounts: VisionWeb, Uprise
Website: www.visionweb.com
Number of Locations: 9
Number of Employees: 797
Industries: Healthcare, Eye Care, Insurance
Solution
Medical Claims Automation powered by RPA is a sophisticated integration technology. RPA is compatible with EHRs, practice management systems and insurance websites and has the ability to overhaul manual claims processing. RPA technology users can perform key automation steps plus electronic data capture, entry, querying and reporting. Automated notifications or escalations alert staff when claim processing fails, closing gaps in an often-interrupted workflow. Through RPA, this organization can: * Integrate core business systems and payer websites * Automate claims processing tasks * Centralize claims data entry and access * Complete the claim life cycle quicker * Perform claims data analytics and reporting * Onboard new claim loads quickly * Enable robust user access and security controls * Save 35% on manual claims processing costs!
Integrated Systems
Categories: EMR, Practice Management, Insurance
Brands: VSP, Allscripts, AdvancedMD, American Health Tech, Amkai, Casamba, Compulink, Eaglesoft, GE Centricity, KeyMedical, LG, MDOffice, MedInformatix, NextGen, PointClickCare, Aetna, Blue Cross Blue Shield, Cigna, Humana, United Health Care
Digital Tools:
Robotic Process Automation (RPA), RPA