Revenue Cycle Management- (chat bot)

Business Challenges

  • 100K+ medical documents handled manually with ~400 members team.
  • Varied reports format (handwritten or printed, scanned images).
  • Large spikes in claims from 100 providers challenges accuracy and turnaround times.

Solution Approach

  • Implemented chatbot to enable an intuitive conversational interface.
  • Our partner’s proprietary platform was deployed in the client owned private cloud with adherence to the HIPPA Compliance.
  • Data from Electronic/Patient Health Records (EHRs/PHRs) were automatically reflected in claims forms.
  • SMEs were trained in less than a week to further train the pretrained models.
  • Template free, AI powered extraction at ~100% accuracy.
  • Powerful Cognitive Search of 10000+ documents instantly, inbuilt OCR and encryption capability for password-protected documents.

Outcomes

  • Reduced Processing Time (from 30 minutes to 7 minutes)
  • 4x Process Efficiency improvement
  • 3x Increase in Volume handled
  • Improved Patient Satisfaction