Automating Insurance Claims Processing in a Multi-Specialty Hospital
➤ Problem Statement
Multi-speciality hospitals often face delays and errors in processing insurance claims. Manual data entry, mismatched coding, and lack of integration between departments result in claim rejections, longer payment cycles, and revenue leakage.
➤ Our Solution
As hospitals need an automated system that connects billing, clinical, and administrative workflows—ensuring accurate, timely, and trackable claims submission across all specialities and departments.
We offer a tailored insurance claims automation solution that digitises the full lifecycle of claims — from pre-authorization to submission and tracking — seamlessly integrated with your existing HIS and EHR systems. This reduces errors, ensures faster approvals, and improves financial outcomes.
➤ Key Features
- ◆ Automated claims generation based on clinical documentation
- ◆ Built-in validation for policy rules and code accuracy
- ◆ Integration with insurers and TPAs for direct submission
- ◆ Real-time claim status tracking and updates
- ◆ Dashboards for denial management and claims analytics
- ◆ Alerts for missing documentation or approvals
➤ Benefits for Multi-Specialty Hospitals
- ✓ Accelerate insurance claim turnaround time
- ✓ Minimise rejections with automated validation
- ✓ Reduce admin workload and manual errors
- ✓ Improve cash flow and revenue cycle efficiency
- ✓ Enhance patient satisfaction with transparent processing
