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Enhancing Claim Settlement Operations via Business Automation for a Leading Dental Chain

Project Highlights

Our client, is a prominent dental chain with team of best dentists. They were following a manual process for claim settlement for many years now. With the remarkable growth in digitization and the need to stay ahead of competitors, the client needed to automate claims settlement and billing process. They need a dashboard solution to have real-time insights on number of claims, pending and closed ones. The manual system resulted in delayed reimbursements, billing errors, and challenges to track the status of claims. The client was looking to enhance operational efficiency, reduce errors, and speedup the overall billing cycle. They decided to build a comprehensive solution to automate end-to-end processes and focus on core competencies. Client partnered with OrangeMantra to address their challenge in the most organized manner.

Project Highlights
challenge
Business Challenges

The client at a very early stage identified that there is a huge complexity in manual management of bills and claims. The major problem identified from their workflow model that they didn’t exactly have an effective dental claims management system. Manual claims was only getting worse as time went on. Major delays and operational cost was increasing when claims were manually forwarded to different processing departments and back again. We had to develop a system that could automate that work, reduce the paperwork, and seamlessly connect insurers with consumers.

  • Manual Processes: The current claim and billing processes were manual resulting into delays and errors in documentation work.
  • Lack of Visibility: No real-time insights into the status of claims and billing processes, making it difficult to keep a check on outstanding payments and other bottlenecks.
  • Data Duplicate: Adding manual data ended into inaccuracies, resulting into claim rejections and billing disputes.

    • Technology Solution

    Our team has a deep understanding of modern-day technologies. We were able to automate their clumsy manual reports and spreadsheets with on-demand graphical views. The final product simplifies and automates the work of claim supervisors, finance departments. It is a user-friendly solution that gives all data in glance view. Team time is saved with use of auto validation of legitimate claim based on correct details.

    Value Delivered

    OrangeMantra designed a scalable, easy-to-use, and secure dental claim management dashboard for client. The solution was a real benchmark in terms of claim settlement, customer satisfaction and reduced costs. Claims supervisors have functionality to locate a claim and track its status in an ongoing way, straight from dashboard. Likewise, senior management get notification to certain pressing issues – thus saving business efforts across the board.

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