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Status
Live
AUTHORING ORGANIZATION
Geisinger
PERFORMANCE METRIC
Initial Denial Rate
Automation Tool
UiPath
TECHNOLOGIES
RPA
Applications
EPIC
Microsoft Suite
HB | PB
N/A
Automation value
(as reported)
43632938

Problem Statement

The value an automation delivers is hard to prove once it's running, so its impact often goes unmeasured. To quantify what the Notice of Admission automation is worth, each affected claim has to be tracked through adjudication and the resulting payment tied back to the automation rather than estimated. Without that tracking, the automation's ROI is a guess.

Automation Solution

This automation tracks the value generated by the Notice of Admission automation by attaching a billing indicator and following the claim through the adjudication process.

Automation Resources

PDDs, Process Flows, Presentations, and Assessments
NOA Availity PDD V3.0 (Epic Upgrade)
PDD
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Member Portal
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