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