Automated Patient Data Extraction, Review, and Claim Submissions for Healthcare
Location: Philadelphia
Introduction
A Health care management company focused to transforming the delivery of Health care through smart technology, clinical data analytics, and deep clinical expertise.
Challenges
The client aimed to enhance patient experience by transforming their back-office operations.
Employees were manually extracting and reviewing patient data.
Documents were received in bundled PDFs, causing delays in processing and client communication.
High probability of errors, omission of required data, and associated claims rejection.
Delayed payments due to a backlog of claims filing.
Solution: Implementing RPA to automate the extraction, review, and submission of patient data and claims significantly streamlined the process.
Key Benefits
Efficiency
Automation reduced manual data extraction and review time by 80%, allowing employees to focus on higher-value tasks such as patient care and case management.
Accuracy
Error rates decreased by 95%, reducing claims rejection due to incorrect or incomplete data.
Speed
The automation process speeds up claim submissions, resulting in faster payments and improved cash flow.
Patient Experience
Enhanced patient experience through timely communication and efficient handling of patient data.
Cost Savings
Reduced the need for additional manpower, leading to significant cost savings.
Overall Result
The implementation of RPA transformed the company's back-office operations, leading to improved efficiency, accuracy, and speed in patient data management and claim submissions. This resulted in better patient experiences, enhanced financial performance, and a more productive healthcare provider.