Case Studies
Transforming Insurance Eligibility
Our Tech Partnership Success Story
88% Faster
Zero Errors
Happier Patients
The Challenge
Manual Data Copying
Staff manually copied insurance details from Availity and eClinical systems, increasing error rates and workload.
Time-Consuming Tasks
Repetitive manual tasks cost hours daily, reducing staff productivity and increasing operational costs.
No Centralized View
Lack of unified platform for real-time coverage and eligibility updates across multiple systems.
Error-Prone Process
Outdated insurance information led to claim denials, processing delays, and patient frustration.
Our Solution
Our automated eligibility checker integrated with both Availity and eClinical platforms.
Automated Eligibility Checker
- We built an automated system that validates insurance details with smart rules, integrating real-time data from both platforms.
Smart Rules Engine
- Validates insurance details with intelligent rules, eliminating manual lookups.
Real-Time Integration
- Pulls accurate, up-to-date information from both Availity and eClinical platforms.
Error Elimination
- Automated everything from login to coverage capture, reducing human error.
Technologies Used
Measurable Impact & Results
88% Faster Processing
Slashed eligibility checking time to under 40 minutes
Near-Perfect Accuracy
Eliminated manual entry errors, significantly reducing claim denials.
Lower Staffing Load
Freed up several hours of staff time daily for higher-priority tasks.
Faster Revenue Cycle
Clean, first-pass claims with fewer rejections mean quicker payments.
Scalable Operations
Seamlessly handles peak volumes with zero slowdowns.