Automating Medical Billing Cycle

In the coming years, the insurance industry will undergo dramatic changes, and carriers will be forced to adapt to a continually shifting business landscape. But trying to adjust to those changes with the paper-intensive methods they’ve used in the past won’t be enough. Adapting to the future of the insurance arena requires a new approach.

Carriers need to be prepared to automate the entire medical billing cycle for maximum efficiency. With flexible, automated workflows, companies can eliminate the need to physically transfer documents, thus reducing human error, enforcing required approval processes and maintaining government compliance. Such an automated, digitized solution will put them in an advantageous position for future industry developments.

Carriers should seek out a bill processing platform with the ability to:

• Capture bill data with guaranteed accuracy levels and route to any network, payor or bill review system
• Flag providers whose credentials are not up to date, protecting against fraud and abuse
• Utilize custom provider and claims data analytics to reduce overall claims spend
• Meet Insurance Diversity Initiative (IDI) goals
• Ensure compliance with ever changing healthcare regulations

Though its unknown exactly what changes will become mandatory for the insurance industry, carriers that make the necessary investments in automation now will be best positioned to respond to and cope with whatever changes the coming years bring.