Case Study: Major Medical Center

How Ricoh Automated a Major Medical Center’s Insurance Correspondence Process to Speed Resolution, Increase Revenue and Enable Remote Work About the Customer This major U.S. medical center consistently ranks among the top U.S. hospitals. Based on the West Coast, the medical center comprises three major hospitals and four clinic locations in a densely populated metro area. As a university-based teaching hospital and school of medicine, the medical center has achieved a variety of medical breakthroughs in many medical specialties since its founding more than a century ago.

Challenge 1,000+ daily claims correspondence to manually process 20-minute average processing time per document Complexity with 200+ document types, 1,000+ variation risk of missing critical deadlines, denied authorizations and payments Like most U.S. medical centers, declining margins have posed significant threats to financial viability. Some of the financial bleeding is due to predominantly manual processes — despite the transition to electronic health records (EHR).

In general, 90% of healthcare providers are heavily dependent on manual processes for claim submission and follow up. Up to 60% still rely on manual processing for claim status and payments.

 

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