Customers expect almost-instantaneous resolution to claims. Manual claims processing, while maintaining optimum levels of accuracy, creates profitability pressures for payers, leading to unforeseen delays, higher litigations, overpayments, and unsatisfied customers.
For this customer, manually auditing claims failed to stem revenue leakage and slowed down resolution times. They were looking to automate and streamline claims processes to optimize the number of human touchpoints and make the process faster and more accurate.
Manually auditing claims to check for overpayments was leading to:
Apexon brought onboard ApexClaims, a proprietary advanced analytics platform embedded with classification and anomaly detection models, to:
With ApexClaims, the customer introduced cognitive capabilities and automation across its claims adjudication process that helped them:
Case Studies
Automation of a Seamless Integration of Dealer Track for Credit Application Submission Process Consolidation for a Leading Financial Services Provider
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Discover how we helped America’s largest telecom network provider increase their data storing and distribution capabilities from 250 TB to 1.9 PB and enable 95% data availability to improve their data management processes while reducing costs.
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Learn how we assisted a Danish business conglomerate with activities in the transport, logistics and energy sectors to implement a centralized Data warehouse to improve their data quality, analyze the business trend and performance.
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Discover how we aided a leading US bank holding company headquartered in Michigan with capability enhancements that ensure a long-term process that reduces data anomaly and mismatch errors, improves operations, and mitigates risks.
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