Case Study
Claims Processing Automation with XBP Europe
Read how claims processing automation helped a healthcare payer organisation reduce administrative costs and improve control & visibility.
Challenge
XBP Europe partnered with a top 10 healthcare payer organisation to enhance the customer experience, improve control and accountability, increase EDI submission rates, and reduce administrative costs as the organisation continually expanded its reach and market share.
solution
XBP Europe offered claims processing automation
To tackle this challenge, XBP Europe utilised the PCH web portal, a self-service, rule-based platform, to boost provider engagement. The platform’s intelligent document identification system empowers provider offices to guide billers in submitting claim appeals through the web interface. Automated workflows based on rules ensure that documents are directed to the appropriate payer processing department, allowing for prompt and precise processing. E-presentment of post-processing notifications eliminates the need for reprocessing, preventing delays for providers.
Benefits
Benefits with claims processing automation
- A 35% decrease in payer processing costs
- Over 50% reduction in cycle times
- A 20% decrease in resubmission rates
- Improved transparency for payers, providers, and members
- Reduced member outreach volumes
- Fewer payment errors
