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Strategy | Engineering | Performance
Healthcare
Digital Payer Automation
Smart Automation to Re-engineer and Enhance Accuracy, Reliability and Lower Cost
STRATEGY
This Healthcare Payer helps their Provider network deliver high-quality healthcare outcomes and strives to optimize and lower medical costs.
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We helped this Client:
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Derive insights through a strategic assessment and data analytics across process lifecycles.
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Select process re-engineering and automation design opportunities to improve process accuracy, reliability, and efficiency.
ENGINEERING
Enrollment
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50%+ process automation including "bots" for several tasks
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Forecast annual savings > $450,000
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Eligibility
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50%+ process automation
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Forecast annual savings > $500,000
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Premiums
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70%+ process automation including "bot" to post premium cash, fallouts, tax processing, reconciliation
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Forecast annual savings > $450,000
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PERFORMANCE
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96%
Reduction in Turn Around Time from 4+ weeks to less than 4 hours using Automation
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$1.4 mm+
50%+
Annual Processing cost savings forecast
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12+
FTEs Available to Redeploy to higher value work
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