Claim Processing

In many cases auto adjudication leads to pending claims due to lack of information. Typically this information is there on payer systems and applications. As payer systems are built in silos, a single application is not able to connect the dots and retrieve the information to make a valid decision. RPA bots can be trained to gather disconnected information on different applications to make an informed decision. The automated process reduces average transaction times from 12 to 2 minutes. This will also help in increasing the auto adjudication rate to above industry standard of 85%.

Use Case Services Offered

In 2020, as the situation across the world rapidly changed from business as usual to adapting through a pandemic, RPA is already being implemented to accelerate operations in healthcare, helping organizations and professionals deal with the overwhelm caused by CoVid-19.