for the Healthcare Industry
HPA accelerates the time-to-value for payers by handling the development and management of their automation initiative from start to finish. With deep expertise in healthcare automation, we have demonstrated success automating processes across the technology solution set, including Cognizant’s line of TriZetto Healthcare Products—Facets®, QNXT™, QicLink™, as well as third-party applications like McKesson CCMS and VITAL, CMS PC Pricers, ITS, Blue2, MedHOK, Micro-Dyn DRG and APC, and Medi-Cal sites.
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Improve member engagement
Reallocate staff to work that provides greater value to members and to the organization.
Eliminate costly rework
Reduce manual intervention to increase accuracy and avoid costly financial penalties.
Increased regulatory compliance
Reduce the operational burden, risk, and cost associated with regulatory compliance.
Texas Children’s Health Plan
With more than 400,000 Medicaid members administered on the QNXT system, TCHP was taking on a new line of business which would require a significant increase in staffing levels. See how TCHP leveraged HPA’s process automation services to dramatically increase claims processing throughput without adding significant human resources.
BlueCross BlueShield of Tennessee
With a large-scale claims adjustment and a looming deadline, BlueCross BlueShield of Tennessee was faced with having to ramp up additional resources to address more than 100,000 claims. The work required unique adjustment processing rules across multiple processing platforms. Discover how this client cleared their adjustment backlog one week ahead of schedule by utilizing HPA’s robotic process automation expertise.
Healthcare claims-processing bots have processed 3.8M transactions annually for insurance firms with more than 20% improvement in auto-adjudication rate.