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:
Learn how we helped a large physicians group based in the US use deep learning models to improve error identification by 3x and reduce financial leakage by 40%.
Automotive & Manufacturing
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