Benefit Eligibility
Client: Leading National Healthcare Provider
75% cycle time reduction
Challenge
Minimize risk of non-payment due to unverified payer sources
Minimize denials caused by unauthorized patient visits
Automate referral queue management
Automate team performance reporting
Delivered Solution
Automated batch-verification of Medicare and non-Medicare eligibility & benefits
Reduced prior authorization cycle time from 40 to 10 minutes per authorization
Integrated payer verification and authorization with Managed Care & Billing
Automated referral queue management
Automated KPIs performance tracking
Business Impact
75% faster authorization approval time
$2.5 million staff efficiency savings
Efficient referral queue management
Reliable timely productivity reporting
Sample Deliverable
Illustrative project deliverable shown belowAutomated benefit eligibility and prior authorization approval for Medicare and non-Medicare patients.
