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Insurance

Automating data entry, claims processing and policy management? We’ve got you covered.

There are various ways to automate insurance operations to increase productivity and profitability. RPA can automate the process of evaluating and processing insurance claims, underwriting insurance policies, and routine customer service tasks, such as answering frequently asked questions or processing requests for policy changes. Automation can improve the customer experience, efficiency, and accuracy and free employees to focus on more complex tasks.

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automating processes in a checklist

Work just became less work.

RPA can help improve the accuracy and consistency of insurance-related processes, reducing the risk of errors and ensuring that customers receive the coverage they are entitled to. RPA can also help insurance companies reduce their operating costs by automating tasks that would otherwise need to be performed by human workers. Overall, RPA can help the insurance industry by streamlining operations, improving efficiency, and enhancing the customer experience.

use cases

These companies have
already seen the benefits of automation

Healthcare

Ally Pediatric

Ally Pediatric Accomplished a 90% Reduction in Their Invoice Processing Time

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Healthcare

Butterfly Effects

Butterfly Effects Experienced an Astounding 235% Return On Investment

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Recruiting

Flux Resources

Flux Resources Freed Up 400 Hours Using the Advantages of Process Automation

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all case studies

Thoughtful is ready to automate your Insurance processes.

CD

Claims Denials

Automating claims denials can bring several advantages. Firstly, it can increase efficiency by reducing the time and effort required to manually review and deny claims. Automation can streamline the process by quickly identifying errors or discrepancies in claims and generating denial letters, reducing the workload for staff. Secondly, automation can improve accuracy and consistency by using predefined criteria and rules to identify and deny claims. This can reduce errors and discrepancies caused by manual processing, ensuring that claims are processed fairly and consistently. Finally, automation can enhance data analysis by providing insights into the types of claims that are denied and the reasons for denial. This data can be used to improve claim processing and identify patterns or trends that may require further attention. Overall, automating claims denials can help companies save time and resources, while improving accuracy and consistency in their claim processing.

behavioral health; healthcare; medical; physical therapy; insurance; revenue cycle management; claims filing; accounting; centralreach; epic; nextgen; medez; meditech expanse; kareo; qgenda; clinicsource; eclinicalworks

CP

Claims Processing

Automating Primary Claims Processing in an EHR has several advantages for healthcare providers, including improved accuracy and efficiency in claims processing. By automating this process, healthcare providers can reduce errors and increase productivity, allowing staff to focus on other essential tasks. Additionally, automated claims processing can help providers reduce the time it takes to receive reimbursement for services rendered, improving cash flow, and ultimately leading to better financial outcomes for the organization. Overall, implementing an automated Primary Claims Processing system can streamline operations, reduce administrative burdens, and ultimately improve patient care and products for the organization.

Claims processing is undergoing a seismic shift due to automation. For example, did you know that McKinsey predicts that by 2025, 25%of insurance and healthcare industry processes will be powered by artificial intelligence, revolutionizing how the industry operates?

Claims processing can help solve one of healthcare providers’ biggest challenges - denied claims. For example, one study found that nearly seven in 10 healthcare providers experienced a jump in denials in 2021.

It's important to note that the exact steps a bot might take can vary depending on the specific electronic prescribing and medication management software and the healthcare provider's workflows. Additionally, while the bot can perform many of the medication management tasks, some actions may require human intervention and oversight, especially in complex cases.

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

IP

Insurance Payments

Once claims are identified as Paid, the bot will find the EOB/EOP, navigate to the patient record in the EMR system and update the patient ledger.

insurance,healthcare, behavioral health, dental, physical therapy,medical billing,insurance filing,revenue cycle management,therap,always care,compulink advantage,davis vision,eyecare,eyemed,eyequest,march,spectera,superior vision,accupoint,advancedmd,centralreach,cerner,clinicsource,eclinicalworks,epic,kareo,lumary,medez,meditech expanse,nextgen,qgenda,solutionreach,theralytics,waystar,webaba,webpt,wellsky personal care,carecloud

Medical Billing, Zero Pay, Zero Payment, Insurance Payments, Patient Responsibility

PA

Predictive Analytics

Automating Predictive analytics and demand forecasting with Thoughtful can bring a range of advantages to a retail or manufacturing business. The software can predict future demand for products and services and optimize inventory levels, pricing, and marketing strategies. By analyzing historical data, sales patterns, and other relevant information, Thoughtful can provide accurate predictions about future demand for products, services, and other business-critical elements. This allows businesses to be more proactive in their decision-making, making it easier to identify trends, forecast sales, and plan for future growth. Additionally, by automating the predictive analytics process, Thoughtful can help businesses become more efficient and organized, making it easier to find and retrieve information when needed and make data-driven decisions. With Thoughtful, businesses can also optimize their operations by using real-time data to plan and schedule tasks, improve efficiency, and reduce costs.

retail; insurance; manufacturing; account management; record keeping; data cleansing;

PC

Primary Claims Filing

Automating Primary Claims Filing within an EHR offers several benefits for healthcare providers. By automating this process, providers can improve the accuracy and efficiency of claims submissions, minimizing the likelihood of claim rejections and payment delays. Automating claims filing can also help healthcare organizations optimize their revenue cycle by streamlining the claims submission process and reducing administrative burdens. Moreover, automated systems can detect and flag potential issues with claims before submission, decreasing the risk of rejections and delays. Automating Primary Claims Filing can ultimately lead to better financial outcomes, reduced administrative costs, and improved patient care for healthcare organizations.

What Are the Top 5 Industries That Benefit from Primary Claims Automation? Insurance, Hospitals and Clinics, Medical Billing and Coding Services, Government Health Agencies, and Pharmaceutical Companies.

It's important to note that the exact steps a bot might take can vary depending on the specific electronic prescribing and medication management software and the healthcare provider's workflows. Additionally, while the bot can perform many of the medication management tasks, some actions may require human intervention and oversight, especially in complex cases.

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

These are just some of the systems our bots work with...

Eyefinity

Payspan

VBA

InstaMed

NVA

VSP Vision Care

And more! Search your application on our use cases page!

Learn how much Thoughtful's bots can impact your business.

An expert can help you understand the ROI and time-to-value we can offer.

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Check out our blog

The Most Powerful Benefits of RPA in the Insurance Industry

In the modern era of technology, one of the most popular buzzwords has been automation. This automated technology has drastically changed the insurance industry, especially with the introduction of robotic process automation (RPA).

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How Insurance Companies Are Using Bots To Improve Work-Life Balance

The worrying fact is that the sector as a whole is in the red concerning average economic profit. And with growth stagnating, insurers are under more pressure than ever before to boost performance.

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How Bots Can Benefit the Life, Home, and Auto Insurance Industries

The reality is that many insurance products operate on incredibly thin margins, so it's often difficult to justify the cost of implementing a new system. Yet the costs of continuing with outdated technology grow higher every year.

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