Artivatic Reduced Failure Rate For Health Insurance Claims Denial For USA Based RCM Company.

Use Case & Objective
This is case study for the insurance claims denial improvement in Health Insurance Sector for RCM (Revenue Cycle Management) company in USA. In claims processing in healthcare insurance, the denial rate for claims are high and also low efficiency. This ends in losing $$ millions on monthly basis and also increases operation time & costs. The aim of this problem is to solve the reduction in denials so that revenue can be directly increased with per $ value on operation expenses & process.

About RCM USA Company
This company is an American healthcare revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

The company provides end-to-end revenue cycle management services as well as modular services targeted across the revenue cycle including pre-registration, financial clearance, charge capture, coding, billing and follow-up, underpayments, and denials management.

Key Challenges & Issues RCM Process

Artivatic’s Approach
Solutions provided by Artivatic to meet SBI GIC Personal Accidental Claims requirements:

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Artivatic.ai

AI & Deeptech focused technology startup disrupting Fintech, healthcare & Insurance sectors: Reducing Risk, Digital Access, Underwriting, Claims, Fraud & more.