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