技术
- 分析与建模 - 机器人过程自动化 (RPA)
适用行业
- 金融与保险
- 医疗保健和医院
适用功能
- 维护
用例
- 时间敏感网络
- 基于使用的保险
关于客户
Scott & White 健康计划和保险公司 (SWHP) 是一家健康维护组织 (HMO),总部位于德克萨斯州坦普尔。 SWHP 是 Baylor Scott & White Health 的一部分,其在德克萨斯州的医疗保健服务历史可以追溯到 19 世纪末。该组织为超过 215,000 名会员提供服务,是德克萨斯州评价最高的计划,也是全国评价最高的计划之一。 SWHP 一直因会员满意度而受到认可,并因卓越而享有全国声誉。尽管对于其规模的计划而言,他们是一个小团队,但他们能够提高工作效率并快速扩展运营规模。
挑战
Scott & White Health Plan and Insurance Company (SWHP) 是一家总部位于德克萨斯州的健康维护组织 (HMO),拥有超过 215,000 名会员,其手动数据输入流程面临着重大挑战。该公司正在努力应对大量的手动数据输入,其中包括复制和粘贴数据、设置新的薪资等级以及建立新的提供商网络。 《平价医疗法案》(ACA)的通过预计将带来大量新申请人的涌入,这将进一步增加手动数据输入所花费的时间。创建新网络的过程涉及将类似计划中的费率、服务和其他信息复制并粘贴到新网络中,这个过程可能需要长达四个星期的时间。同样,设置新的薪资等级也是一项耗时的任务,每个工作最多需要 45 分钟。
解决方案
SWHP 转向 Nintex Foxtrot RPA,这是他们已经在使用的自动化解决方案,用于处理薪资级别设置、提供商网络创建等任务。 Nintex Foxtrot RPA 在大多数核心系统的表示层工作,像人类一样执行任务,但准确性更高。通过将“自动化员工”分配给这些任务,SWHP 能够显着减少手动数据输入所花费的时间。该软件能够在短短一周内建立新网络,缩短了 75% 的时间。设置新的薪资等级以前需要长达 45 分钟,现在使用自动化解决方案只需 5 分钟。 Nintex Foxtrot RPA 还处理受追溯定价变化影响的索赔,自动重新运行索赔并签发费用差额支票。
运营影响
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