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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

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

  • Forecast annual savings > $450,000

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Eligibility

  • 50%+ process automation  

  • Forecast annual savings > $500,000

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Premiums

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

  • 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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