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Case Study – Claims Filing and Status Tracking – UiPath RPA Automation

Challenge

The client had a web portal for different clinics to login and fill in the encounter minutes and readings of RPM reports of patients along with possible ICD/CPT codes. This was followed by logging into different EMRs (by the client’s staff), search for patients and create encounters with CPT codes and minutes for claims submission. These claims were being tracked manually!

Solution

  • Sync 1000+ ICD/CPT codes on daily basis.
  • Scalable solution and supports multiple EMRs.
  • 100% accuracy in fetching data. Human error was eliminated.
  • Improved process efficiency with minimal manual effort and training time.
  • Claim status tracking helped in revenue being streamlined.

Outcomes

95% reduction in processing time
100% accuracy in claims filing
Better and Efficient exception handling

Auxiliobits Helps Global Healthcare Chain in Claims Filing and Status Tracking
Problem Introduction

The client had a web portal for different clinics to login and fill in the encounter minutes and readings of RPM reports of patients along with possible ICD/CPT codes. This was followed by logging into different EMRs (by the client’s staff), search for patients and create encounters with CPT codes and minutes for claims submission. These claims were being tracked manually!

Key Challenges

  • The volume of readings from the patient monitoring devices was growing at a rapid pace and client needed a scalable solution.
  • Readings, minutes, codes on the web portal and clinic’s EMR needed to be in sync.
  • Based on the clinics, there were a variety of EMR’s (ECW, Practise Fusion, Health Fusion, Greenway and lot more) that needed to be updated for claims data.
  • Track claims status for proper insights into rejections and approvals.

The Solution

The automation of these processes resulted in the revenue growth

  • Sync 1000+ ICD/CPT codes on daily basis.
  • 100% accuracy in fetching data. Human error was eliminated.
  • Claim status tracking helped in revenue being streamlined.
  • Scalable solution and supports multiple EMRs.
  • Improved process efficiency with minimal manual effort and training time.

Automation Process Flowchart

Healthcare Portals

Human resources re-deployed on more productive and valueadding work

Effective tracking of the claim amount

Activity logs for process, risk and compliance processing

Tell us about your Operational Challenges!

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