ACI’s YesBot Improves Eligibility Verification for a Leading Healthcare Giant
ACI Infotech enabled a Fortune 500 healthcare enterprise to automate eligibility verification using YesBot RPA, cutting costs, eliminating manual effort, and improving accuracy.
Key Results
The Challenge
The client is a highly diversified Fortune 500 company into healthcare and well-being business and has access to healthcare through networks which includes 1.2 million physicians and other health care professionals. It has approximately 6,500 hospitals covering various other facilities.
Key Challenges
The customer was using a manual verification system, which was cumbersome, leading to a couple of challenges that include:
Lack of collaboration with Medic-aid agencies
Increased inbound requests from Medic-aid agencies
Complex evaluation & authentication
Manual hassles
Our Solution
To address these challenges and enable a faster verification process, the client explored a couple of automation options for its policy eligibility checks. It ultimately partnered with ACI Infotech to deploy YesBot, a proprietary Robotic Process Automation (RPA) solution built to streamline and strengthen eligibility validation.
Key Highlights
Intelligent Content Evaluation: Interprets and processes data accurately to support reliable eligibility decisions.
Automated Data Interpretation: Enables the system to analyze information seamlessly without manual intervention.
Accurate Reporting & Analysis: Automatically transfers data across systems, eliminating human errors and ensuring high data accuracy.
Rapid Verification: Converts and scans multiple data sources in real time, allowing eligibility confirmation and customer updates within seconds.
Technologies Used
Results & Impact
With successful implementation of ACI’s YesBot solution, the client enjoyed the following benefits:
50% reduction in resource cost for the same process
100% accuracy in data verification and analysis
60-90% increase in verification efficiency and response
50% cut in workload, enabling the client to achieve better, accurate and quick results
"We saw a clear improvement in speed, accuracy, and overall efficiency after automating our eligibility verification with ACI Infotech. Their approach made a real difference to our day-to-day operations."
Ready to Achieve Similar Results?
Let's discuss how we can apply our expertise to your challenges.