2400 Meadowbrook Parkway, Duluth, GA 30096 | +1 770-493-5588 Follow Us
Select Page

Case Study

6x increase in task completion rate and achieved high accuracy in processing claims

Client Background

The client provides a full range of medical billing services for FQHC and CHC specifically targeting revenue cycle management issues.

Client Need

  • Client processes 900-1000 claims daily in the managed healthcare space which works on a partnership model between insurance payers and the State. The claims need to be split where one copy of the claim is sent to the payer and another to the state government
  • Manual claim validations and claim splitting were performed which was time-consuming and needed large manpower for this repetitive process
  • Due to high volume of transactions they needed to hire new FTEs but lacked office space for the new resources

Our Solution

  • Automated the claim splitting process for two of the clinics associated with our client who use eClinicalWorks HER
  • Build 5+ robots which can access the tool in client system and do validations for the pending claims like checking patient’s age, diagnosis, process code mapping, correct format for payer details and other common errors, and correcting them. If any errors can’t be corrected by the bot, then they are pushed into a different queue where it could be manually submitted
  • Daily detailed reports of its activity are auto generated and sent to the client at EOD

Tools & Technologies

My SQL, Ui Path

Key Benefits

  • Reduced process completion time by 80%
  • 6x increase in task completion rate and achieved high accuracy in processing claims
  • Significant time and infrastructural cost savings while eliminating human errors from routine activities
Case Study KeyPoints

Let's Connect

Talk to us and know how our over two decades of experience and a strong global presence can transform your business.


Digital Product Engineering

Cloud Services

Data & Analytics

Intelligent Automation

Cyber Security

Build Operate Transfer

Talent Solutions


Communication & Media


Healthcare, Life Sciences,
and Insurance

Banking & Financial Services

Energy and Utilities



Transportation and Logistics

Innovation @ Work

Blogs and Insights

Research and Whitepapers

Case Studies


Webinars & Tech Talks
US Employment Reports


About Us


Strategic Partnerships

Office Locations

News and Events

The Foundation


Open Positions

Life @ Innova Solutions

Candidate Resource Library

Let's Connect