May 28, 2024 | 2 min read

OpenBots RPA Simplifies Pharmacy Operations, Clears 30% Backlog Within a Week!

Industry: Healthcare
Region: Americas
Department: Pharmacy
Products: OpenBots RPA and Document GPT

28pharmacies
30%backlog was cleared
20FTE saving

Overview

Leading healthcare pharmacies empower senior care facilities with expert medication management. By automating claim adjudication processes with OpenBots RPA platform, these pharmacies minimize errors, expedite payments, and efficiently handle high volumes of up to 10,000 daily claims. The platform streamlines workflows, frees up pharmacists’ time, reduces costs, and accelerates claim resolution. Real-time data from automation helps optimize processes and prioritize patient care, ultimately improving outcomes for elderly residing in these facilities.

Challenges

Review Bottleneck: 10,000 daily claims overwhelm manual review by SMEs, causing delays and potentially dissatisfied pharmacies.
Dual Login Inefficiency: Logging into two application windows adds unnecessary steps, hindering overall processing efficiency for high claim volumes.
Complex Remote Access: Multiple VPN options for remote SMEs create a complex IT environment, posing potential management, connectivity, and security challenges.
Manual Process Error Risk: The entirely manual process amplifies the risk of human error in data entry and claim adjudication, especially with such high daily claim volumes.

Leverage the full potential of your pharmacy operations with OpenBots Document GPT.

Solution

Automate Repetitive Tasks: Free up SMEs for complex cases by automating claim validation, eligibility checks, and copay calculations. Prioritize critical issues with RPA-driven claim review.
Efficiency Gain: Automate finding all rejected claims, checks, and copay calculations with OpenBots RPA, freeing up SMEs for complex cases and reducing backlogs for pharmacies.
Enhance Error Detection: Go beyond highlighted batches! Use RPA bots to analyze claim data and identify potential errors. Prioritize claims for SME review based on severity with rule-based logic.
Minimize Manual Errors: Automate repetitive tasks like data entry, claim submission, and status updates to reduce human error and ensure accuracy. Integrate error-checking functionalities to identify inconsistencies.

Results

Streamlined Workflows and Reduced Costs:

Post implementing the OB RPA Platform in 3 provinces across 28 pharmacies, significant improvements were observed in workflow efficiency and cost reduction.