Transforming Prior Authorization Processes with Bautomate’s RPA Implementation at an Indian Specialty Healthcare

Transforming Prior Authorization Processes with Bautomate’s RPA Implementation at an Indian Specialty Healthcare

The client, a prominent specialty healthcare provider in India, operates multiple facilities specializing in advanced medical procedures and treatments. With a vast patient base and a wide range of specialized services, the client faced significant administrative hurdles, particularly in the prior authorization process. Before implementing automation solutions, the client processed an average of 500 prior authorization requests per month, leading to delays in patient care and increased administrative burden on staff.

Business Challenges

The healthcare provider faced challenges in prior authorization processes, including high administrative burden, lengthy processing times, and error-prone processes, which led to delays in patient care, decreased operational efficiency, and increased claim denials and rework.

Bautomate’s Solutions

Bautomate developed a customized RPA solution for a specialty healthcare provider’s prior authorization processes. The solution included a process analysis, bot integration, automated data retrieval and verification, and electronic submission of authorization requests. The bots streamlined the process, reducing errors and improving efficiency. Real-time monitoring and reporting capabilities allowed the client to track the status of their requests and identify any bottlenecks or issues.

Impacts

Reduction in manual effort
0 %
Automation of prior authorization tasks
0 %
Reduction in claim denials
0 %
Decrease in error rates in data entry and verification processes
0 %

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    Learn how our RPA solution revolutionized prior authorization workflows for a leading Indian healthcare provider

    Recommendations

    Bautomate’s RPA solution has successfully automated prior authorization processes, prompting the specialty healthcare provider to explore automation opportunities in claims processing, adjudication, appointment scheduling, and patient registration.

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