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.

We helped this Client:

  • Derive insights through a strategic assessment and data analytics across process lifecycles.

  • Select process re-engineering and automation design opportunities to improve process accuracy, reliability, and efficiency.

ENGINEERING 

 

Enrollment

  • 50%+ process automation including "bots" for several tasks

  • Forecast annual savings > $450,000

Eligibility

  • 50%+ process automation  

  • Forecast annual savings > $500,000

Premiums

  • 70%+ process automation including "bot" to post premium cash,  fallouts, tax processing,  reconciliation

  • Forecast annual savings > $450,000 

 PERFORMANCE 

96%

Reduction in Turn Around Time from 4+ weeks to less than 4 hours using Automation

$1.4 mm+

50%+ 

Annual Processing cost savings forecast

12+

FTEs Available to Redeploy to higher value work