Automations
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Problem Statement

Charges held by edits sit unbilled until staff manually resolve the flagged issue. When an edit fires for missing or incorrect subscriber information, a biller has to stop and locate the correct details - pulling from eligibility responses, prior accounts, or other data already on file - before the charge can go out. While these accounts wait, they accumulate in Discharged Not Final Billed (DNFB), lengthening time-to-cash and risking revenue leakage on services that were performed but never cleanly billed.

Automation Solution

This automation reviews charges flagged for missing or incorrect subscriber information, updates the account using available data, and resubmits the charges.

Status
Live
AUTHORING ORGANIZATION
Mass General Brigham
PERFORMANCE METRIC
Discharge not final billed (DNFB) Days
Automation Tool
Blue Prism
TECHNOLOGIES
Blue Prism
HB | PB
Member Portal
Desktop only
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