Automatic verification of patient data before the case is opened.
How a healthcare provider checks more than 1,000 admissions a day within the two-hour SLA - without mandatory checks falling victim to time pressure.
For hospital and clinic admissions, a specialist verified the patient data from the admission form by hand — filled in either by the patients themselves or by their GP practice. Only then is the case opened; the services are recorded and invoiced to the insurers and to the patients. With more than 1,000 cases a day and a two-hour SLA, mandatory checks were being skipped - raising the risk of billing errors such as incorrect insurance claims.
A robot reads the data from the admission form and completes it from the central patient register, including the social security number. It identifies the insurance provider, retrieves the coverage information and verifies the referring practitioner's details. Most cases run through without intervention; where those details are missing or incorrect, the case goes to manual verification. For unexpected errors, the robot sends an automatic notification.
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