Medical Insurance Claim Automation for a Leading Medical Billing Company
Reduction in manual efforts
Improved Process TAT
Reduction in human errors
Industry
- Healthcare
Processes Automated
- Medical Insurance Claim Processing
Automation Highlights
- Automated data entry, field-level validation & verification of data
- Automated ERA forms filling and claim submissions
- Scheduled email triggers in case of exceptions
Automating Medical Insurance Claim Submissions
The manual claim submission process had a massive backlog of approx—six thousand aged claims. The process was highly time-consuming and error-prone. The Nividous Bots automated operations, including data entry, field-level validation, data verification, ERA form filling, and claim submissions. Email triggers are scheduled in case of exceptions. Nividous RCM solutions truly delivered a competitive edge to the customer.
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We wanted to optimize claim submissions to strengthen our practice's financial health and unburden our staff from a huge backlog of aged claim submissions. Moreover, it was important to eliminate all inefficiencies, including the risk of human errors, that arise out of manual work. Nividous intelligent bots effectively meet our needs of automating the claim submission process. The Bots pull data from internal systems and submit it to the Maryland State Medicaid portal. Nividous RCM solution eliminates the backlog from recurring while reducing the manual effort by 75%. This automation is just a starting point for us in our journey to modernize RCM functions.
A Leading Medical Billing Company
