Needed an effective way to track and manage medical claims processing for over 150 practice locations
Needed a centralized location to retrieve medical claims that were stored in various data sources
No standardized process for all locations to follow and track the performance of claims being processed
No scalability for future practices
How Did M2's Smartsheet Solutions Solve the Problem?
The Solutions
Implemented a Control Center which provided standardized template sets for all 150+ practice locations and the ability to provision them to new locations
Automated the process for opening/closing claims and provided the corresponding metrics daily
Developed workflows to track the performance of staff working on these claims which provided the ability to demonstrate ROI via dashboards to clients
Configured the system to setup business rules to track invalid action responses for over 10K claims
Final Result
Staff were able to efficiently follow up on claims
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