Problem Statement

Providers must be enrolled and credentialed with payers before their services can be billed, and a provider who isn't enrolled in time generates claims that deny or get written off. Every newly hired radiologist needs a Medicaid enrollment application completed for each service location, currently across dozens of sites, and re-enrollment is required every five years. At roughly twelve hours per radiologist, this manual work delays the point at which the radiologist can bill Medicaid.

Automation Solution

This automation completes Medicaid enrollment applications for each radiologist's service location, using an attended trigger to handle initial and five-year re-enrollment submissions.