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One bot significantly reduced our efforts, allowing us to optimize productivity in other core areas. We're now running a total of 6 bots across our revenue cycle.
Brittany Turner, Director of Compliance and Systems
Using bots significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our bots continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support.
Brittany Turner, Director of Compliance and Systems
Surpass™, a Behavioral Health Company located in Nashville, TN, prioritizes productivity because time is their best asset in driving successful patient outcomes. Surpass is a part of the Graham Holdings family, an organization with a strong healthcare background and vision for providing meaningful change. To provide this highly personalized level of care, the team needs to be focused on the aspects of their work that rely on human touch, not bogged down with tedious, mindless tasks like regularly verifying eligibility.
File any claims that were unable to be filed through your EHR system.
healthcare; behavioral health; dental; physical therapy; eyecare; insurance; insurance filing; revenue cycle management; claims filing; accupoint; advancedmd; centralreach; cerner; clinicsource; eclinicalworks; epic; kareo; lumary; medez; meditech expanse; nextgen; qgenda; solutionreach; theralytics; waystar; webaba; webpt; wellsky personal care
Claims, Primary Claims, Secondary Claims, Primary and Secondary, Health Care, Health Payor, Insurance, Payor, RCM, Revenue Cycle Management
When a new physician, nurse practitioner, or another healthcare provider is hired, this bot moves them through the entire medical credentialing process.
healthcare; behavioral health; dental; physical therapy; provider management; revenue cycle management; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics
ABA, EHR, Provider, Credentialing, HR, Human Resources, Practice Management, Onboarding, Insurance
Primary Claims Filing
Reduce delays and improve the efficiency of the insurance claims process.
healthcare; behavioral health; dental; physical therapy; eyecare; medical; insurance; accounts receivable; revenue cycle management; claims filing; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; eyefinity
ABA, RCM, Insurance Processing, Claims Filing, Primary Claim
Medicaid Eligibility Verification
Conduct Medicaid eligibility verification for your patient population.
healthcare; behavioral health; dental; physical therapy; government; accounts receivable; centralreach; epic; cerner; webpt; nextgen; qgenda; solutionreach; eclinicalworks; kareo; wellsky personal care; meditech expanse; lumary; accupoint; webaba; clinicsource; advancedmd; medez; theralytics; sc medicaid; pa medicaid; fl medicaid; ga medicaid; ky medicaid; eyefinity
ABA, EHR, RCM, Invoicing, Patient Eligibility, Medicaid
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The team at Surpass would spend hours of manpower on manual verification of Medicaid eligibility for hundreds of patients across multiple states and agencies. The tedium of logging in and out of various state Medicaid portals, tracking down the necessary information, and keying the updates into their EHR was time-consuming and pulled the team away from more engaging, higher-value patient-facing work. The company needed a solution to save time on a repetitive, tedious activity.
Surpass engaged with Thoughtful to dive into the requirements of verifying Medicaid eligibility for a large volume of patients, including the numerous intricacies across states, diagnoses, providers, and more. Thoughtful researched the technical requirements of working within government websites and Surpass’s EHR.
After building out the requirements, the Thoughtful team was able to develop, test and deploy the end-to-end solution within a matter of weeks. Due to the reliance on custom filters and labels within Surpass’s EHR, the bot is able to dynamically stay on top of ever-changing eligibility requirements and meet Surpass’s evolving business needs.
Thoughtful designed a custom bot to verify Medicaid eligibility for hundreds of clients across six states, approximately 95% faster than the human team was able. Applications of hundreds of clients across multiple states can be processed simultaneously, on a daily basis, significantly reducing the time it took to process a claim and enabling continuous patient coverage. As Surpass’s patient population grows, the bot is able to keep up with fluctuations in demand.
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