Faster and more accurate issue classification
Challenge: A renowned Top 4 revenue cycle management vendor looked to improve and automate the contract ingestion process using the DocSynk® AI-Inside™ platform. More specifically, they wanted the ability to autonomously identify reimbursement rules for service types for provider contracts. The key known challenges: The variety of contract formats, even for the same provider in different years, variety of sources (i.e. system vs. scan of a fax).
Why? Potential for up to $ 7 M in cost efficiencies annually in the contract loading process. These are annual cost savings alone. Additional revenue potential (from 100% contract coverage, no money left on the table for the provider) not calculated.
Solution: By identifying Sample Set of Contracts to validate reimbursement claims for service types, and verifying performance of the DocSynk® AI-Inside™ engine against performance of a subject matter expert, DocSynk® AI-Inside™ was able to prove that we can easily process over 1000 contracts per day, in production.