RPA’s Impact on MediCal’s Operations
Overview
MediCal Solutions is a leading healthcare provider in California, offering a wide range of services to patients across the state. With a growing patient base and increasing regulatory compliance requirements, the company faced significant operational challenges that hindered its ability to deliver efficient, high-quality care.
Technical Stack
Industry
Healthcare
Region
California
Project Size
Non- Disclosable
Highlights
Data integration from multiple systems
Automate repetitive and rule-based tasks
Minimize errors and inconsistencies
Ensure compliance with industry standards
Challenges & Solutions
Manually entering patient data, insurance information, and medical records into multiple systems was time-consuming and error-prone.
- Solution: We implement RPA bots to automate data extraction, validation, and transfer between various systems, reducing manual effort and improving data accuracy.
The claims processing workflow involved multiple steps, including eligibility verification, coding, and billing, which often resulted in delays and errors.
- Solution: We deployed RPA bots to streamline the claims process by automating tasks such as eligibility checks, coding, and submission, accelerating turnaround times and improving claim accuracy.
Ensuring compliance with complex healthcare regulations, such as HIPAA and CMS guidelines, was a burdensome and time-consuming task.
- Solution: Utilize RPA to automate routine compliance tasks, such as reporting, auditing, and documentation, reducing the risk of non-compliance and improving overall regulatory adherence.
Manual processes often led to delays in patient appointments, billing inquiries, and other interactions, negatively impacting patient satisfaction.
- Solution: Employ RPA to automate routine patient-facing tasks, such as appointment scheduling, billing inquiries, and insurance verification, improving response times and overall patient experience.
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12+
Years of Business
Experience
1458+
Happy
Customers
12+
Countries with
Happy Customers
1050+
Agile enabled
employees
Core Features
- Automated data entry, appointment scheduling
- Seamless extraction of data
- Automated transfer of data
- Automated generation of reports
No. of Developers
05
Time Frame
August 2022 - September 2023
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