Case study about Health Insurance Claims Processing
The Challenge: When a major health insurer decided to overhaul its less-than-efficient claims processing system, the initiative came with a steep challenge: an aggressive 75-day ramp-up to full data capture services of over 250,000 claims per week. There was one more goal, too: further streamline claims processing by increasing the number of claims that auto-adjudicate upon data entering the customer systems.
The Solution: We took on the task, and immediately established a new facility in Lexington, Kentucky. There, we implemented state-of-the-art technology to perform all claims processing services, including full mailroom services, data entry, storage and retrieval, digital imaging, x-ray processing, online updating and Intelligence Queue/Data Cleansing.
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