Void Facets claims listed in an Excel input by entering a specific code in the Provider ID field and attaching the appropriate void letter to the claim.
DOMAIN
Health Plan
FUNCTION
Claims Processing
Category
Claim Adjustment, Void & Reprocess
Status
Live
AUTHORING ORGANIZATION
Geisinger
PERFORMANCE METRIC
Payer Operations
Automation Tool
UiPath
TECHNOLOGIES
RPA
Applications
Facets
Microsoft Suite
HB | PB
N/A
Automation value
(as reported)
99187
Problem Statement
Claims that have already adjudicated sometimes have to be voided outright, and each void has to be done precisely and documented. Working from a list, someone has to open each claim in Facets, enter the specific void code, and attach the correct void letter so there's a record of why the claim was voided and what was communicated. Done manually this is exact, repetitive work where the wrong code or a missing letter leaves the void incomplete or undocumented.
Automation Solution
This automation voids the Facets claims listed in an Excel input by entering the void code in the Provider ID field and attaching the appropriate void letter, and produces an output file recording the claim number, letter template used, and any business exception.
Automation Resources
PDDs, Process Flows, Presentations, and Assessments
No resources currently available
Related Automations
No related automations
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4 years ago
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Problem Statement
Claims that have already adjudicated sometimes have to be voided outright, and each void has to be done precisely and documented. Working from a list, someone has to open each claim in Facets, enter the specific void code, and attach the correct void letter so there's a record of why the claim was voided and what was communicated. Done manually this is exact, repetitive work where the wrong code or a missing letter leaves the void incomplete or undocumented.
Automation Solution
This automation voids the Facets claims listed in an Excel input by entering the void code in the Provider ID field and attaching the appropriate void letter, and produces an output file recording the claim number, letter template used, and any business exception.
Automation Resources
Related Automations
Comments