Epic/Availity Claim Statusing Bot

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Industries: Healthcare
Systems: EPIC, Availity

Challenge:

CampTek Software recently worked with a large healthcare provider with fifteen hospitals in the Mid-West. The goal was to alleviate their RCM staff of 1,000 FTE’s of having to perform manual processes. After a quick analysis it was determined that Claim Statusing was a process that could be automated.

As part of this daily process, Full Time Employee’s (FTEs) had to manually update Epic with claim status from Availity. The average number of claims was 54,000 per month.

Solution:

CampTek Software was able to analyze, design, build and place this bot into production within 4 weeks. The bot includes business rules and exception handling and reporting. The automated solution takes the manual process out of their hands so they can focus on other revenue cycle activities that before were not able to be addressed.

Savings:

The monthly hours saved: 2,652 or 25 FTE’s

Process workflow:

  • The Bot logs into Epic and Navigates the work queue
  • Gathers Patient Demographic data
  • Then logs into Availity and searches for the Patient
  • Pulls the claim date in Availity and then updates the patient account in Epic
  • Logs out

Also, as part of the project Process Design documents and Detailed Workflow models are developed to assure accuracy.

Camptek-Epic-Availity process flow diagram

Example Executive Dashboard data visualizations

  • Visual ROIs of both Macro and Micro views
  • FTE Hours saved
  • Cost Savings
  • Runtime hours
  • Bot utilization
  • Trending and Reporting

CampTek Software provides Customizable Executive Dashboards for each bot so that customers can see powerful and actionable analytics data on their automation success.

CampTek Epic/Availity Dashboard graphic

About CampTek Software

CampTek Software is a Full-Life-Cycle RPA SaaS Provider. With industry experience developing and supporting RPA Applications since 2005, we have the expertise to support any Automation initiative you can think of. CampTek will be with you on every step of your RPA Journey. With our unique background, we are qualified to develop and support any RPA Process. We offer Advising Services, Host Support and Bot Support for all production processes. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry.

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