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Policy Eligibility Verification using RPA Software Solution
Case Study

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TruBot Enhances Eligibility Verification For A Leading Healthcare Giant

Client

A highly diversified Fortune 500 company into healthcare and well-being business and access to care through networks that include 1.2 million physicians and other health care professionals and approximately 6,500 hospitals and other facilities.

Industry

Healthcare

Region

United States of America
Policy Eligibility Verification using RPA Software Solution

Challenges

Lack of automation led to increase in turnaround-time. The documents had to be processed manually. The manual process reflected lots of errors in data and system.

Since TAT was high, verification and facilitating of services for clients was also more time consuming, leading to delay in policy issuance.

Solution

Datamatics’ team implemented TruBot, their proprietary Robotic Process Automation (RPA) solution for Policy Eligibility Verification as it has distinct advantages for smooth and accurate verification processes.

TruBot provided data interpretation facilities, enabling the client’s Eligibility Verification system to auto-validate and auto-verify the data.

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Impacts
50% Reduction In Resource Cost - RPA in Healthcare Case Study

50%

Reduction In Resource Cost
100% Accuracy Achieved In Data Verification & Analysis

100%

Accuracy Achieved In Data Verification And Analysis
RPA in Healthcare Case Study - 60-90% Quick Policy Verification & Response

60-90%

Quick Verification And Response
50% Cut In The Work Load - RPA in Healthcare Case Study

50%

Cut In The Work Load

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