How RPA Transformed Claims Processing for Knownwell

Introduction:

Knownwell is a prominent healthcare company in the United States that provides a wide range of medical services to patients. With the growing number of patients and claims, Knownwell faced challenges in managing its claims processing workflow, which led to errors, delays, and decreased efficiency. To overcome these challenges, Knownwell reached out to Hitechprovider, a leading technology solutions provider, to help them implement a Robotic Process Automation (RPA) solution.

Background:

Knownwell’s claims processing workflow was primarily manual, involving multiple departments and staff members. The process was time-consuming, prone to errors, and resulted in delayed payments to healthcare providers and dissatisfied patients. The company recognized that automating its claims processing workflow could significantly improve its efficiency and accuracy, while also reducing costs.

Solution:

Hitechprovider proposed an RPA solution that could automate Knownwell’s claims processing workflow, from data extraction to claims adjudication. The solution involved the use of software robots to automate repetitive and rule-based tasks, such as data entry, data validation, and claims processing. The RPA solution was designed to integrate with Knownwell’s existing systems and workflows, minimizing disruption and ensuring a seamless transition.

Implementation:

Hitechprovider worked closely with Knownwell’s IT team to develop and deploy the RPA solution. The implementation process involved several stages, including identifying the key processes to be automated, designing the RPA solution, testing, and training. Hitechprovider’s team of RPA experts worked closely with Knownwell’s staff to ensure a smooth implementation and adoption of the new system.

Results:

After the implementation of the RPA solution, Knownwell experienced significant improvements in its claims processing workflow. The process became faster, more accurate, and more efficient, resulting in reduced processing times and increased revenue. The RPA solution eliminated errors, reduced manual intervention, and enabled faster claims adjudication. Overall, the solution helped Knownwell to streamline its claims processing workflow and improve its operational efficiency.

Conclusion:

The implementation of the RPA solution by Hitechprovider helped Knownwell to transform its claims processing workflow and achieve significant improvements in its operational efficiency. The solution not only improved the accuracy and speed of the claims processing workflow but also reduced costs and improved patient satisfaction. By partnering with Hitechprovider and implementing an RPA solution, Knownwell was able to stay ahead of the competition and provide better healthcare services to their patients. The implementation took around six months, after which Knownwell was able to realize the benefits of the RPA solution.