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Status
Status Unknown
AUTHORING ORGANIZATION
Geisinger
PERFORMANCE METRIC
Denial Write offs
Automation Tool
UiPath
TECHNOLOGIES
RPA
Applications
EPIC
Microsoft Suite
HB | PB
Professional Billing
Automation value
(as reported)
68678

Problem Statement

No Fault, Workers' Compensation, and Third Party Liability claims can't be submitted on their own; the payer requires supporting documentation attached to the claim before it will adjudicate. Assembling and attaching those records by hand for every qualifying claim is repetitive, time-sensitive work, and until the attachment step is done the claim sits unbilled, aging in AR and pushing out time-to-cash on revenue the organization is owed.

Automation Solution

This automation identifies No Fault claims, completes the claim attachment process, and releases the claim.

Automation Resources

PDDs, Process Flows, Presentations, and Assessments
No resources currently available
Member Portal
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