Optimized claims processing improves turnaround times and quality levels, and serves as a catalyst to increase customer care and consistent profitability.
A diversified Fortune 100 company, providing healthcare–related products and services across the U.S.
Inconsistencies in processing methods and quality concerns highlighted the need to optimize data entry procedures and downstream paperless processing of claim forms. Requirements included consolidating all claims processing functions to a single vendor with the ability to accurately process claims within 24–hour mandates. This vendor would also provide redundant processing for non–disruptive backup and disaster recovery.
SOURCECORP provided new claim indexing rules and data queues to speed information access, helping optimize data entry accuracy and operator productivity. Processes from mailroom to FASTRIEVE claim uploading are now paperless and fully transparent to the client. The redeployment of resources has saved roughly $1.7 million annually and represents over $1 million in avoided staffing costs for new lines of business.