Case Study

IMPROVING AUTO-ADJUDICATION RATES

IMPROVING AUTO-ADJUDICATION RATES

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IMPROVING AUTO-ADJUDICATION RATES DRIVING CLAIMS ACCURACY AND EFFICIENCY OF LEGACY SYSTEMS VISION Automated Claims Throughput Needed to Reduce Costs and Risk This high growth Medicaid and Medicare Insurer serving nearly 3 million members across thirteen States found low auto-adjudication rates and high manual processing costs unsustainable and a barrier to effective growth. It sought new solutions to improve claims auto-adjudication rates and

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