Canada
Puerto Rico
USA
Belgium
France
UK
India
Client Background
The client is a national physician organization which uses technology, team-based care, and unique wellness programs to keep patients healthy, prevent disease, and improve care coordination both in and outside of the doctor’s office
Client Need
Automate day-to-day operations to create claims, fetch in-patient admissions, care index, and authorization details of multiple health plans or health systems
Automate processes dealing with manual edits and load these files for downstream systems to calculate the quality measures, reimbursement rates, and population health
Solution
Implemented 52+ process robots using UiPath for automating routine manual tasks
Developed robots to create claims and download files for pre-authorizations, in-patient admissions, discharge information, HEDIS rates, and medical conditions
These robots can access multiple healthcare systems and perform all operational tasks like finding specific plan patient care information, member pre-auth files
Robots were configured to edit the downloaded files as per clients’ proprietary format and load edited files into client’s system
Realized Benefits
Significant time and cost savings while eliminating human errors from routine activities
5x increase in processing capacity when compared to manual execution
Robots enable consistent, highly efficient operations that result in higher customer satisfaction
Enabled end-users to perform value-added tasks and executed pre-determined workflows to assist them further
Tools & Technologies
Ui Path
Microsoft SQL Server
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