Automation of Medicaid Member Intake Process with Real-Time Eligibility Verification, Authorization and Data Entry
Nividous has significantly transformed our new member intake process with its intelligent automation solution. Its native Generative AI capabilities handle email categorization and data extraction, while RPA Bots and its workflow automation engine handle real-time eligibility checks, authorization, data entry, and task execution. This automation has significantly improved process turnaround time, reduced errors, and minimized financial losses.
Chief Executive Officer
A Healthy Meal Delivery Service Company
Process automation achieved
Improved process TAT
Reduction in manual efforts
Industry
- Healthcare
Processes Automated
- Email request categorization and subcategorization
- Real-time eligibility & authorization verification
- Data entry into the NetSuite CRM
Automation Highlights
- Native Generative AI capabilities for email categorization and data extraction
- Real-time eligibility check and authorization for processing meals
- Automated data entry into CRM
Automating Intake Process with Eligibility Verification, Authorization, and Data Entry
The client needed help managing over 2,600 daily intake requests manually. The unstructured request types and email formats made manual data extraction challenging. Nividous transformed the process by efficiently categorizing and prioritizing emails and streamlining data extraction using its native Generative AI capabilities. The platform also automated eligibility checks, authorization, and data entry into the CRM, benefiting the customer by reducing delays, minimizing errors, and enhancing efficiency.
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December 19th, 2024 
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