Workflow costs reduced by 68%, improved quality, and reduction in turnaround time by 72%.
Medical claim queries are highly complex workflows that are often free form, without clear or simple structure. These queries may be initiated by multiple parties such as patients, providers, and lawyers. Documents are as large as 100 pages with dense, complicated medical claim and diagnostic information. Medical claim queries are also subject to a wide range of regulations from patient privacy to requirements for accuracy and turnaround time.
The Client Challenge
- Required high skill human analysts
- High complexity resulting in errors
- Daily volume variability resulting in intermittent staff idleness and production backlogs
The SDS Solution
The client’s overall workflow costs were reduced by 68% while quality improved. An important objective also was achieved in terms of regulatory compliance. Turnaround time for processing medical claims queries was reduced by 72%. See how our in-house technologists can improve your organization’s workflow by contacting us today.