The most common transactions for today’s insurers are patient-related matters regarding membership, benefits, pre-authorizations and claim payment, maintenance-related issues and long-duration case management. Extensive documentation is associated with each of these transactions and often manual, paper-based business processes. This causes processing delays, inefficiencies and inaccuracies and increased administrative costs.
Manual business processes prevents universal access to case-related documents, preventing effective first-call issue resolution. Additionally, transactions subject to regulatory compliance mandates cannot be managed as organization records. Continue reading ‘Leveraging Business Process Management Capabilities to Improve Provider Relations’ »