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 Workers' Comp claims, downloads the attachments, completes the claim attachment process, and releases the claim.