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We assisted the client automate their process for better claims management for revenue generation.
The client is one of the largest Dental Services Support provider to multi-specialty dental practices in US. They were already offering a plethora of services to dentistry services in the areas of general, orthodontics, periodontics, endodontics, pedodontics, prosthodontics, and oral surgery to over 1 million patients annually.
Interdent realized that while its services was simplifying a lot of processes for its customers, there were a number of challenges that they still faced in terms of healthcare insurance claims. They wanted to tackle challenges like the missed /duplicate claims, slow processing, insufficient reports, insufficient information claims, etc. And this is what the client came to us with.
To resolve the issue of missed, slowed down, or wrong claims. Enhance the workflows in claim processing and add dynamic business rules. Remove inconsistencies caused by manual processes and while maintaining numerous processes.
We prepared a comprehensive plan to cater to their requirements. We trusted role based security to design the app to ensure access limitation to users. The app also had page-level and control-level access along with features to manage workflows, tele-calling requirements, EDI claims, and more.
The client, Interdent, is a leading player in the dental healthcare industry. They realized that their customers were facing difficulties in claim processing, which in turn, affected their overall revenue. They wanted to make the claims processing system quicker, more streamlined, and well-managed.
The customer came to us with the idea to redesign the entire workflow and generate reporting of all open claims. We started with working on the entire database and built this enterprise-level application.
The finished product allowed users to view complete claim processing and the management to track everything for each department. It helped them reduce claim period by 40%, reduce errors by 80%, and achieve 95% success in identifying duplicate claims.
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