Speed up health insurance claims processing by automating with Zoho RPA

Insurance claims processing

In the current healthcare landscape, insurance claim processing is full of complexities and inefficiencies. Healthcare providers are burdened with manual tasks as they navigate paperwork and regulations, putting the process at a higher risk for errors and delays in reimbursement.

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Faster, simplified claims processes with one digital assistant

With Zoho RPA, you can automate all the high-volume, repetitive, and manual tasks involved in claims processing.All you need to do is record these manual tasks using the Zoho RPA recorder, to capture all the automation steps. Based on that, the Zoho RPA bot will interact with the UI of your applications and do the tasks for you—from data updation to validation and submission.

These bots can interact with both modern and legacy applications and perform web-based operations, such as claims form filling, updating Excel records, and even helping organize your files and folders. 

This process optimization can lead to a 50-80% reduction in processing time and a significant decrease in error rates, translating to substantial cost savings and improved operational efficiency.

How Zoho RPA streamlines every step of insurance claims processing

Let's take a closer look at how you can optimize insurance claim processing faster with Zoho RPA:

Stage

Without Zoho RPA

With Zoho RPA

Data entry for claims

The administrative staff enters patient and treatment data into the claims system.

Patient and treatment information can be swiftly and automatically transferred from the EHR to the claims system by configuring the RPA software bots.

Verification of patient information

Once the patient details are recorded in the claims system, the staff then proceeds to verify patient information manually, insurance details, and eligibility.

Verification of patient information, insurance details, and eligibility can all happen in tandem and at once.

Claim form preparation

Once patient information and insurance eligibility is verified, claim forms are filled out.

Healthcare providers can configure the RPA bots to extract data from the EHR portal and automatically populate claim forms with necessary data.

Claim submission

The administrative staff submits the claims to insurance companies.

Zoho RPA automates claim submission, completing the task within minutes.

Follow-up on claim status

Staff has to track every claim status and follow-up with the insurers.

Zoho RPA bots can automatically monitor claim status and can be configured to alert staff of any issues.

Error and denial management

The administrative team has to review denied claims and correct errors.

The software bots can identify errors and automate the correction process.

Reporting and Analysis

Data for reporting and analysis has to be manually compiled from multiple sources.

The RPA software bots can automate report generation, provide real-time data and saving up to 80% of the time spent on manual reporting.

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Frequently asked questions

  • What is Zoho RPA?

    Zoho RPA is a cutting-edge solution that automates manual, tedious, and repetitive tasks to streamline processes and operations. By connecting a vast array of modern and legacy applications, it's designed to redefine how you approach automation.

  • What are the benefits of Zoho RPA?

    Strategic automation: Let bots handle manual, repetitive tasks, allowing your team to focus on other, more important initiatives.

    Seamless integration: Connect with a vast array of 900+ modern and legacy applications.

    Scalability: Grow your automation capabilities in line with your business needs.

  • What are the key features of Zoho RPA?

    • Web automation
    • Windows automation
    • Excel automation
    • Files & Folders automation
    • API cloud services integration
    • Deluge custom functions
    • Powerful Windows and web-based recorder

  • What primary target processes are suitable for RPA automation?

    Zoho RPA can automate four types of primary target processes:

    • Manual
    • Repetitive
    • Rule-based
    • Processes with low-exception-rate