All cases
Finance & accountingHealthcare
Gen AI Analytics RPA

Prescribed, delivered, billed: deviations show up immediately

How a healthcare provider automatically reconciles prescribed treatments with the care services actually delivered – surfacing both what was never provided and what was never billed.

Customer anonymised
Starting point

A healthcare provider operating multiple care and treatment centers wanted to automate its controlling process and make planned-versus-actual deviations immediately visible: not every prescribed treatment was actually delivered, and not every one was billed.

Solution

RPA und KI digitalisieren die Verordnungen. Die Pflegeleistungen werden im ERP-System erfasst, täglich exportiert und mit den Verordnungen abgeglichen; ein Analytics-Dashboard zeigt die Abweichungen nach Zentrum, Behandlungsart, Patient und Betreuungsperson. So wird sichtbar, wo verordnete Leistungen fehlen – und wo sie nicht verrechnet wurden.

Result
RobotHumanAI-assisted
Prescriptions digitizedService data exportedplanned-vs-actual comparisonDashboard highlights the deviations
patient-visit-report · power bi
Result
Daily
Comparison of prescribed and delivered services
4
Levels for root cause analysis: center, treatment type, patient, caregiver
6
care centers covered by report
EBIT
higher, by ensuring prescribed services are billed

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