CASE STUDY
“As an organisation committed to deliver
the most personalised service and best
clinical outcomes, we understand the value
of time. In our mission to reduce waiting
THE AUTOMATION
PLATFORM
WILL MAKE THE
INSURANCE
ELIGIBILITY
PROCESS QUICK
AND ACCURATE
BOTH AT AN
ORGANISATIONAL
LEVEL AND TO
CUSTOMERS.
www.intelligentcio.com
With regards
to insurance
approval, RPA
implementation
will support our
team to deliver
an even higher
level of service,
with their time on
paperwork reduced
O
n
ti o
thanks to automation.
a
m
Ve
for
nee
We can use insights
who
f In
th P
e
i
h
C
urushot
delivered by the tools to access
book an
aman, Group
and process data to deliver the best
appointment
clinical outcomes and service excellence
online to see a doctor. The
for our patients,” said Andre Daoud, Chief
RPA implementation will ensure elimination
Executive Officer at Medcare Hospitals and
of waiting time for these existing patients as
Medical Centres.
Medcare focuses on pulling off the insurance
eligibility process hours before the patient
Veneeth Purushotaman, Group Chief
visits the clinic. Whereas, for new patients,
Information Officer at Aster DM Healthcare, this process will take place from their second
said: “After the pilot implementation of RPA visit at any clinic of Medcare.
at Medcare, we will roll out RPA at a group
level, with the aim to help process data in
Naushad Mohammed, General Manager IT
large volumes, improve interconnectivity
at Medcare, understands that the current
with other systems and access data at
Insurance Eligibility Process is a tedious
more touchpoints. The tools will support
one. He explained that the process is very
key objectives in our Digital Transformation
monotonous and time-consuming for both
to leverage the most accurate results,
their front and back-office team. The team
reduce errors and accomplish even greater
must scan a patient’s details through 10
results with our pool of immensely talented
to 15 insurance portals to ensure claim
team members.”
eligibility of a patient.
Automating the long and repetitive routine
work of the Insurance Eligibility Process will
help Medcare provide a seamless experience
for patients. Eliminating a tedious and
mandatory task for patients indeed adds to
ease of availability, facilitating time-savings
and reduces stress. This implementation will
help ultimately support customer retention
and boost engagement.
time and constantly improve upon
evidence-based care, RPA will
automate and streamline
several tasks for our
medical professionals
and administrators
in hospitals
and clinics.
The automation platform will make the
insurance eligibility process quick and
accurate both at an organisational level and
to customers.
Initial feasibility studies delivered insights
into the number of layers and time
consumed on the part of the backend team
to complete the rigorous insurance eligibility
paperwork and for patients to receive
approval before a procedure can begin.
WE CAN USE INSIGHTS DELIVERED BY
THE TOOLS TO ACCESS AND PROCESS
DATA TO DELIVER THE BEST CLINICAL
OUTCOMES AND SERVICE EXCELLENCE
FOR OUR PATIENTS.
customer experience and value generation.
The implications are widespread as
Medcare, as part of global healthcare
group Aster DM Healthcare, oversees four
multispecialty hospitals alongside four
specialty centres and 10 medical centres,
employing over 300 doctors.
The process will support a seamless and
conducive experience for existing patients
“It is a time-consuming process for the
employees and strains patients to wait for
INTELLIGENTCIO
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