Robotic Process Automation for Third Party Administrators
Which processes do I Automate?
Healthcare Claim Payment from a health insurer to a healthcare provider either directly or via a financial institution (EDI 835) is used to make a payment, send an Explanation of Benefits (EOB), send an Explanation of Payments (EOP) remittance advice, or make a payment and send an EOP remittance advice only.
These simple processes cover a large amount of manual work in reconciliation –
- Verification of claims
- Matching of claims
- Carrying out adjustments
- Highlighting disputes
- Modifying Patients or Payer Charges
These processes are rule-based, high volume, stable and with structured inputs, making them apt for automation!
Applications of RPA
Claims reimbursement is the biggest source of revenue for most practices. A RPA tool provides a quick and accurate solution when dealing with volume, complexities of payer contracts, insurance company rules, coding and filing, claims tracking and more.
Benefits of RPA
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Speak with a specialist to assess your automation score and business process ROI on a RPA implementation.
What is / is not RPA?
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