- The client had a lot of manual intervention for their claims administration process which they wanted to automate.
- They wanted to automate the eligibility determination process and also needed customization of their HIM system to have reports and integration with the mobile app.
- We implemented 20+ process robots using UI Path for automating manual routine tasks in-patient eligibility and claims management.
- Built robots to extract patient eligibility details from Medicaid
- Automated fetching latest claim status
- Created an FHIR server for electronic transfer of data through secure API’s
- Created an accreditation mechanism for secure transfer and use of data elements
- Customized the Legacy app for HIMS to add reporting capabilities
- Developed Mobile app for appointment scheduling and tracking of patient information
Tools & Technologies
- Saved about 90% of the manual effort
- Robots produce consistent highly efficient operations & customer satisfaction
- Increased processing capacity by 5 times when compared to manual execution for eligibility check and claims administration
- Reduced customer service center calls by 60%