In the healthcare sector, hospitals face numerous challenges including managing insurance claims efficiently amidst complex regulations and procedures. Adaapt offers digital solutions to streamline healthcare operations, empowering providers to focus on delivering exceptional patient care. With a comprehensive suite of solutions spanning from care management to claims processing, Adaapt aims to drive digital transformation in the healthcare industry.

The client, one of India's leading maternity hospital chains, encountered significant challenges in managing insurance claim processes:

Collecting information from multiple insurance companies, each with its own rules and procedures, leads to complexity and time consumption.

Accurately calculating claimed and approved amounts, considering various factors such as patient discounts and returned medications.

Verifying received amounts from insurance companies against final billing amounts to ensure accuracy and compliance.

Current processes lack automation and struggle with:

Manual data processing, resulting in inefficiencies and errors.

Difficulty in navigating diverse insurance company procedures, leading to delays and inaccuracies.

Inability to efficiently handle complex calculations and verifications, risking revenue loss and patient dissatisfaction.

Adaapt addressed these challenges through:

Automated report management, reducing processing time from 90 minutes to just 8-10 minutes, resulting in a 90% reduction.

Replacement of manual tasks with bots, liberating 15 Full-Time Equivalents (FTEs) and resulting in an 88% reduction in Operating Expenses (OPEX).

Increased productivity, with the bot processing 2500+ reports/day compared to 150 reports/day manually, ensuring timely responses to patient needs.

Adaapt solution has showcased impressive outcomes in streamlining insurance claim processing for hospitals, marked by substantial reductions in processing time, operational costs, and error rates. Through the strategic implementation of digital transformation, hospitals can elevate their efficiency, accuracy, and overall patient satisfaction, thereby paving the way for improved healthcare outcomes. Adaapt' unwavering dedication to innovation positions it as a pivotal ally in reshaping the landscape of healthcare operations, offering invaluable benefits to both institutions and patients.

How Adaapt' Transformed Insurance Claim Processing for Hospitals?

In the healthcare sector, hospitals face numerous challenges including managing insurance claims efficiently amidst complex regulations and procedures. Adaapt offers digital solutions to streamline healthcare operations, empowering providers to focus on delivering exceptional patient care.

Bhaskar Raj on 18 March 2024

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