Automated Claims Processing Solution

Claims Processing Made Easy

With rising costs, growing customer expectations, disruptive diseases, competition, and integration with complex technologies, healthcare today is at a juncture where it is imperative for the stakeholders to invest in innovative solutions, automation, and digital technologies to build a smart and 21st-century ready healthcare system.

 

Multiple – disparate systems, high transaction volumes, and delays in claim settlement make claims processing one of the best candidates for Robotic Process Automation.

Key Challenges: Claims Processing

Disparate Systems

High Data Volume

Delays in claims settlement

TPA Systems, Emails, Other Insurance Service Provider Platforms, PDF documents, Spreadsheets. More disparate touchpoints, higher are the chances of an error  

The high volume of data to be extracted from various sources and updated in HIS/ ERP on a daily basis. It requires multiple resources rummaging through loads of data through-out the day

With multiple systems, High Data volume, and Non – Structured Inputs, Claim settlements are delayed directly impacting the cash flow 

RPATech brings automation to Claims Processing

With our automation solution, we have helped healthcare organizations automate claims processing solution. Some of the key benefits include:

  • Templates for TPA templates
  • Connectors to major ERPs
  • Ready to deploy workflow for TPAs and other Insurance Providers
  • Customized automation on HIS and ERPs
  • 24X7 availability
  • Integration of existing reporting or bespoke reporting/ MIS

Benefits

Ready to deploy workflows

Minimal Human Intrvention

Quick settlements of claim

Ready to deploy workflow to reduce time to automation and bring best practices to your process

With more than 90% of transactions being processed automatically, your finance team focuses on more critical business requirements

With super-fast processing speeds and daily status updates, claim settlements are not being done at a much faster pace than ever 

Detailed insights of the process

Quick ROI Realization

With Daily MIS and variance report, your team now has detailed insights into the process

With employees focused on value-driven tasks and less spend on expensive multiple ERP licenses, typical ROI realization is less than 6 months

Learn more about our Claims Processing Solution