Review charges flagged for missing subscriber information, update the account using available data, and resubmit the charges.
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
HB | PB
N/A
Automation value
(as reported)
23156
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.
Automation Resources
PDDs, Process Flows, Presentations, and Assessments
No resources currently available
Related Automations
No related automations
Comments
Loading
Someone is typing
No Name
Set
4 years ago
This is the actual comment. It's can be long or short. And must contain only text information.
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.
Automation Resources
Related Automations
Comments