15% Reduction  
in Pending Volume with Automation & Analytics  

Reduced 1,500,000 Claims from Manual Reveiw Processes

This large, national care provider struggled with steadily declining claims auto-adjudication rates due to changes in federal compliance and legislation, human error and inefficient processes and technologies.

xScion transformed the manually-intensive, legacy claims processing model to an adaptive, realtime automation and analytics platform.

Learn how xScion:

  • Made claims processing faster and more efficient, while reducing costs
  • Used BPO best practices to rewrite business rules, including the automation of rule logics for pending codes/edits and compliance reporting
  • Leveraged Big Data to disseminate real-time, predictive and actionable information with claims dashboards, prescriptive analytics and compliance-driven reporting
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