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Policy Eligibility Verification using RPA Software Solution
Success Story

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Leading Healthcare Giant: Enhancing Accuracy & Efficiency in Eligibility Verification

Healthcare
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A highly diversified Fortune 500 healthcare company providing patient care through a network of 1.2 million health care professionals, across approximately 6,500 hospitals and other facilities.

The Challenge: Delays, Errors, and High Workload

For a leading healthcare giant, verifying patient eligibility was a slow, error-prone process due to the lack of automation. Every document had to be manually processed, leading to frequent data inconsistencies, system errors, and extended turnaround times (TAT).

As verification delays increased, policy issuance took longer, impacting both customer experience and operational efficiency. The high workload on employees further strained resources, making it clear that a scalable, automated solution was needed to streamline the verification process.

The Solution: Intelligent Automation with TruBot

To overcome these challenges, Datamatics implemented TruBot, its proprietary Robotic Process Automation (RPA) solution, ensuring a smooth and accurate eligibility verification process:

  • End-to-End Automation: TruBot automated document processing, eliminating manual errors and reducing turnaround time.
  • Data Interpretation & Auto-Verification: The system seamlessly auto-validated and auto-verified data, ensuring 100% accuracy in verification and analysis.
  • Faster Processing & Response Times: By cutting verification time by 60-90%, TruBot enabled quick and efficient policy issuance.
  • Optimized Workforce Productivity: Automation reduced workload by 50%, allowing teams to focus on strategic tasks.
  • Cost Efficiency: With a 50% reduction in resource costs, the solution delivered substantial operational savings.

With TruBot, the company transformed its eligibility verification system, improving efficiency, accuracy, and customer satisfaction—setting a new benchmark in healthcare automation.

Impact: Speed, Accuracy, and Cost Efficiency

50%

Reduction In Resource Cost

100%

Accuracy Achieved In Data Verification And Analysis

60-90%

Quick Verification And Response

50%

Cut In The Work Load

Case Study of Automated Eligibility Verification using RPA in the Healthcare Industry

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