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Become a Fully Automated Enterprise
Schedule a call with us to discover how companies can enable every employee to use, create, and benefit from automation
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Become a Fully Automated Enterprise
Schedule a call with us to discover how companies can enable every employee to use, create, and benefit from automation
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Become a Fully Automated Enterprise
Schedule a call with us to discover how companies can enable every employee to use, create, and benefit from automation
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COMPREHENSIVE AUTOMATION IN HEALTHCARE
Drive Positive Healthcare Outcomes with Automation
The healthcare sector is also experiencing one of the most disruptive periods to date. While providers confront hindering factors to improve patient outcomes, increase operating margins, and improve patient experiences, many payers operate on disjointed and fragmented systems and are facing declining profitability. These demands are causing consolidation in the industry, resulting in the need for the large-scale data integration, process automation, and advanced analytics.
225,000
"Hours saved by automation after three years" - Forrester
$1 Trillion
Known improvement opportunities in healthcare - McKinsey
30 - 40%
Lower cost of underwriting and claims processing with automation - Accenture
Getting started with automation in healthcare
RPA has applications specific to the healthcare industry and applications that one can find in any large business. Some of the back-office business functions are the most tried and tested RPA deployments that have fast implementation times and a quick ROI. These functions include automating
the onboarding of new staff, invoice processes, general reporting processes, claims management, and supply chain processes, all of which are
applicable to healthcare. The automation of these processes has an average implementation time of 5.2 weeks and an average ROI of 5.3 months.
For providers and payers alike, the potential to automate means thinking through the processes they do daily that are repetitive and systematic. A
software robot can be programmed to take on a variety of these tasks, accelerating cycle times and freeing them up to provide the best possible care for their customers.
Healthcare payers
More than an insurance payer, you're a healthcare partner.
Payer organizations perform essential health insurance payment processes. But innovators know they can have a larger role in the member and provider healthcare landscape. UiPath business automation helps you drive efficiencies in traditional payer processes, while becoming a differentiated healthcare partner for providers and members alike.
Simplify & Modernize Claims Processes.
Making claims decisions doesn’t have to be a highly manual process with a high administrative price tag to match. Intelligent business automation empowers you to reduce errors while making adjudication processes hands-free.
Ask us about these business use cases:
- Multi-Channel Intake
- Member & Provider Info Edits
- Member Eligibility Validation
- Medical Necessity Validations
- Review Case Determination
- Claim Processing Audit
- Claims Adjudication
- Claim Payment Adjustments
- High Dollar Claims Audits
- Post-Authorization Case Review
Deliver Personalized Care Programs.
As a key healthcare partner, you want to deliver innovative programs that help improve clinical outcomes and ensure at-risk members get treatment on time. With a full view of patient health information, as well as individualized member insights, you can collaborate with providers and engage with members effectively.
Ask us about these business use cases:
- High Risk Member Identification
- Member Outreach Scheduling
- Risk Assessment
- Personalized Care Plan
- Duplicate Case Identification & Merge
- Eligibility Management
- Questionnaire Management
- Member Clinical History Data Gathering
- Member Correspondence Letter Generation
- Scheduling Appointments
- Monitoring Progress
Effortlessly Manage & Use Provider Data.
When managing healthcare data becomes too time and labor intensive, leveraging that data to improve provider and member experiences is nearly impossible. Business automation for provider data management gives payers a central role in helping providers lower costs and members reach their health goals.
Ask us about these business use cases:
Provider Request Document Checklist
Roster Data Formatting & Mapping
Update Provider Data
Provider Data Correction – NPI, PHIN, PIN
Provider Correspondence & Notifications
Sanctions Validation
Provider Taxonomy Management
NPI, Education & Address Validation & Verification
Provider Contract Setup
Payment Reconciliation
A Perfect Score for Every Interaction.
Your Net Promoter Scores (NPSs) matter. Your call center’s ability to provide accurate information in response to inquiries is crucial to ensuring a positive reputation with providers and members alike.
Ask us about these business use cases:
Account Inquiries & Benefit Look-Up
Claims Status Request
Insurance Verification
Plan 360 View & Care Coordination
Pre-Certification & Authorization Status Check
Previous Call History Summary
Address Validation & Changes
Member Demographics Updates
COB Inquiries
Claim Billing Inquiry

Healthcare Providers
Patients and paperwork shouldn't compete for care.
Behind every stack of documents on a healthcare provider’s desk and every email in their inbox is a story: A patient with a health challenge to solve. A provider who will spend their evening charting. UiPath enables the provider-patient relationship to shift back to building rapport and giving and receiving care – instead of information transactions and provider homework headaches.
Move Patients into Care Swiftly.
A patient’s care journey begins well before they visit a provider. The pre-work of onboarding a patient, i.e., insurance verification, data collection, scheduling, etc., is accelerated by using business automation to ensure people who need care become patients as swiftly as possible.
Ask us about these business use cases:
Patient Onboarding
Scheduling
Insurance Verification & Eligibility
Document Intake
Referrals Management
Point-of-Service Collections
Financial Clearance & Planning Initiation
Appointment Reminders
Outreach
Pre-Certification & Prior Authorization Submissions
Personalize Care to Accelerate Healing.
Aggregating, organizing, and understanding patient data shouldn’t prevent providers from delivering personalized care. Business automation for healthcare allows providers to tailor care plans and put healing back on track.
Ask us about these business use cases:
Charge Capture & Coding
Documentation
Lab & Radiology Reports Triaging
Check-In
Check-Out
Lab Order Entry
Dx, X-Ray, & Radiology Order Entry
Medication Management
Phone Triage & Follow-Up Calls
Remote Visits & Monitoring
Realize revenue faster.
Highly manual claims processes, managing patient payment plans, and dealing with time-consuming audits: these are roadblocks that keep providers from realizing revenue in a timely manner.
With business automation driving efficiency in revenue cycle management, you’ll have the resources you need to provide effective, innovative care programs and services and attract and retain top medical professionals
Ask us about these business use cases:
Prior Authorization
Insurance Claims – Posting
Patient Payment – Posting
Coordination of Benefits: Primary, Secondary, & Tertiary
Price Transparency & Real-Time Estimates
Revenue Integrity – Payment Audits (Under & Over)
Provider: Insurance Enrollment
Revenue Integrity – Charge Description Master (CDM) Management
Revenue Integrity – IME or IMR Audits (CMS & Medicare Advantage)
Insurance Claims – Denied & Rejected Follow-Up
Reduce clicks. Increase care quality.
You know you’re experiencing administrative abrasion when providers spend more time clicking a computer mouse than interacting with patients and staff can’t scale to tackle the tasks that keep healthcare organizations running smoothly and safely.
Ask us about these business use cases:
Clinic Staffing & Scheduling
Regulatory & Compliance Reporting
P&L Reporting
Charge Capture, Documentation & Coding Audits
HEDIS Reporting
Indexing & Routing Documentation
Care Coordination
Patient Communications
Population Health Management
Disease Tracking & Trending
McKinsey & Company has predicted that up to 36% of healthcare has the potential to be automated with attended robots
Get in touch
For more information and details on how you can transform and automate your Healthcare operations, please do not hesitate to get in touch with us.

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