Challenge
Staff were manually checking claim statuses across multiple payer portals—a labor-intensive task that consumed 5–10 minutes per claim. With a backlog of 75,000 claims, delays and missed reimbursements were a growing concern.
Objective
A prominent healthcare IT services provider needed to ensure faster, more accurate payment collections by automating the claims statusing process across top payer portals, reducing manual work and eliminating backlog without increasing headcount.
Solution
Novatio built an automated solution that:
- Interacts with payer portals (UHC, Availity, CareFirst).
- Retrieves claim status data and updates the EHR system automatically.
Outcomes
- ~170,000 transactions processed annually with a 97% success rate.
- ~14,000 hours saved.
- $600K–$700K in annual labor savings.
- Backlog cleared without requiring overtime.
*Results described on the website are based on specific engagement and may vary depending on environment and implementation.
