Efficiency Improvement, faster to process a claim
On average, processing every healthcare claim involves 100s of Edits with multiple validations. With the operations team having to manually check standard operating procedures (SOPs) for millions of claims each year across these Edits, the throughput of claims processing is sub-optimal. In addition, every Edit has to be resolved by navigating through more than 10 screens which is extremely time consuming.
The solution team implemented Intelligent Automation to manage more than 750,000 Edits annually without human intervention.
.Net based custom development