August 19, 2016Case Study
Client Challenges
- Phone calls made by Collectors for the majority accounts
- Hold time was a drag on performance
- Payer web portal access was challenging to obtain from clients
- Patient data was inaccurate in enough circumstances to impact automation
Results working with ReveMed
Solution: Validation Engine, Business Intelligence, Claim Status and Payer Hold Time Reduction
- Validation freed up client resources to pull patient data and create claim status input file
- Business Intelligence detected and corrected inaccurate client information, resulting in 15% more successful claim status responses
- Call avoidance based on claim status responses = ~25%
Solution Innovation
ReveMed received high marks for its Payer Hold Time Reduction solution and will be implementing the solution on behalf of its largest client. Expectation is that Collectors will save 1½ hours per day currently spent on hold.