Validate patient demographics and insurance in Epic for visits delivered at external (non-affiliated) sites before allowing charges to post.
DOMAIN
Revenue Cycle Middle
FUNCTION
Charge Capture
Category
Charge Edit Resolution
Status
Live
AUTHORING ORGANIZATION
Mass General Brigham
PERFORMANCE METRIC
Discharge not final billed (DNFB) Days
Automation Tool
Blue Prism
TECHNOLOGIES
RPA
Applications
EPIC
ICM
HB | PB
N/A
Automation value
(as reported)
70000
Problem Statement
When employed providers see patients at non-affiliated sites, the patient's Epic registration, demographics, and insurance must be verified before the charge can post; if that review is done manually, inaccurate or missing information holds the charge in the charge-capture process, adding to Discharged Not Final Billed (DNFB) days and delaying billing.
Automation Solution
This automation reviews registration for employed-provider patients seen at non-affiliated sites, confirms the patient exists in Epic with accurate demographic and insurance information, and clears the charge to post once the data is validated.
Automation Resources
PDDs, Process Flows, Presentations, and Assessments
No resources currently available
Related Automations
No related automations
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Problem Statement
When employed providers see patients at non-affiliated sites, the patient's Epic registration, demographics, and insurance must be verified before the charge can post; if that review is done manually, inaccurate or missing information holds the charge in the charge-capture process, adding to Discharged Not Final Billed (DNFB) days and delaying billing.
Automation Solution
This automation reviews registration for employed-provider patients seen at non-affiliated sites, confirms the patient exists in Epic with accurate demographic and insurance information, and clears the charge to post once the data is validated.
Automation Resources
Related Automations
Comments