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Automated Manual Process of Medical Coding Validation and Processing

Industry

Healthcare

Services

RPA

Overview

The customer is a U.S based software company which provides medical revenue cycle management services. The Company offers medical billing, coding, collection, reimbursement, and data management services.

Challenges

  • Trouble in verifying health insurance eligibility for potential customers due to a lot of manual processes involved in medical coding and revenue cycle management workflows.
  • Data coming from various sources including Excel, PDF, website, etc.
  • Redundancy of the data.
  • Manual Processing of the data and medical codes tagging.

Outcomes

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Reduced errors

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Systematic file storage facility

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Easy data extraction through OCR tools

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98% Reduction in the processing time of insurance claims with an accuracy rate of 97%