EOB Transformation with Finato and TruBot Automation

The client is a highly diversified Fortune 500 enterprise operating in the healthcare and well-being sector. With a mission to improve access to quality care, the organization manages an extensive network comprising over 1.2 million physicians and healthcare professionals, along with approximately 6,500 hospitals and medical facilities.

The Challenge: Unstructured Data, High TAT

The Fortune 500 healthcare giant faced a growing operational challenge—processing nearly 5,000 EOBs daily, or 840,000 annually, entirely through manual means. Each EOB arrived in a different, unstructured format depending on the payer, making it difficult to maintain a standard template for data extraction. This not only slowed down the turnaround time (TAT) but also led to frequent errors and inefficiencies that strained both resources and compliance.

The Chief Information Officer (CIO) was concerned with the lack of scalability and standardization, which hindered the organization’s broader digital transformation efforts. Simultaneously, the Chief Financial Officer (CFO) faced challenges in maintaining revenue cycle accuracy, as inconsistent data entry affected financial reporting and reimbursements. Operations leaders, too, struggled to uphold service-level agreements and meet internal performance benchmarks.

The leadership team recognized the urgent need for an intelligent automation solution—one that could streamline EOB processing end-to-end, minimize human intervention, and deliver clean, structured data. Without it, the company risked delays, higher costs, and diminished customer satisfaction in a highly competitive healthcare landscape.

The Solution: Finato–TruBot Powered Transformation

To address the client’s challenges, Datamatics deployed its intelligent smart workflow solution, Finato, to enable end-to-end EOB processing. The solution was designed to seamlessly handle the receipt of EOBs in various formats—whether through fax, physical mail, or third-party carriers. Finato streamlined the entire workflow, from document scanning and digitization to automated data extraction, validation, exception handling, and routing—significantly reducing the need for manual intervention.

To further accelerate data capture and improve accuracy, Datamatics implemented TruBot, its advanced Robotic Process Automation (RPA) platform. Powered by Artificial Intelligence and fuzzy logic, TruBot intelligently interpreted unstructured EOB formats from multiple payers, extracting relevant data with high precision, even when document layouts varied widely.

Together, Finato and TruBot created a scalable, intelligent automation ecosystem that addressed the client's need for speed, accuracy, and standardization. This integrated approach not only improved data quality and turnaround time but also freed up internal teams to focus on higher-value tasks, aligning with the organization's broader digital transformation goals.