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How qBotica Increased Claims Processing By Over 7x for a Top Healthcare Client

Challenge

    • Healthcare Claims pricing processes involve manually keying claims data using unstructured documents, where EDI was not available.
    • The client organization wanted to avoid manual data entry processes to reduce the time it takes to provide pricing on the claim and to be able to process more claims per day than they were able to with current manual steps.

Solution

qBotica helped the Client integrate UiPath solution to extract the unstructured Claims data from Electronic medical records systems.​

The team also used OCR (optical character recognition) to leverage AI to accelerate claims processing.​

By leveraging Document Understanding, AI Center, Action Center, and other similar advanced components in UiPath solutions such as computer vision, a tremendous amount of effort was saved in building the necessary features from scratch to help enable intelligent document extraction and seamless human-robot collaboration.

Key Benefits and Results

Scaling Operation from Processing
500 CLAIMS/DAY/​ RESOURCE​ (~7X INCREASE)
75 Claims /Day /Resource To
100%​
Turnaround Time Improved by