October 11, 2024  |   1 min read

Automation of Self Paid Claims Process Led to:
1.5x Overall Productivity.

  • Industry: Healthcare
    Region: USA
  • Department: Claims Processing
    Products: OB Studio platform
  • 90,000
    Claims Processed
    per month
  • 74 Hrs
    total processing time saved monthly

Challenge

A major healthcare center’s self-paid claims process was inefficient due to manual validation of sliding fee patients. The team had to ensure the fee schedule matched the patient’s discount based on income or apply a default schedule if no discount existed. This manual process required constant system logins, claim validation, and checking schedules, which was time-consuming and error prone.

Processes Created

  • Bot Open the eClinicalWorks application
  • Bot enters necessary details
  • Bot checks status and fee schedule
  • Bot logs out after updating fee schedule

Solution 

OpenBots re-engineered the process using OpenBots Studio commands to eliminate inaccuracies and inefficiencies. The team integrated the platform to streamline operations with real-time monitoring and maintained human oversight.

Results 

Processing over 90,000 Claims per month.
74 Hrs total processing time saved monthly
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