技术
- 分析与建模 - 机器人过程自动化 (RPA)
- 应用基础设施与中间件 - 事件驱动型应用
适用行业
- 金融与保险
- 医疗保健和医院
适用功能
- 维护
用例
- 基于使用的保险
服务
- 系统集成
- 培训
关于客户
Care1st Health Plan Arizona 是一家总部位于凤凰城的医疗保健提供商,为亚利桑那州医疗保健成本控制系统 (AHCCCS) 的受益人提供保险。该组织最近将其服务范围从马里科帕县扩展到皮马县,注册人数从约 50,000 人增加到 70,000 多人。除此之外,Care1st Health Plan Arizona 还被任命为亚利桑那州通过新的国家健康保险市场提供的保险合作社的第三方管理员 (TPA),这意味着他们正准备在整个过程中处理潜在的数千名新参保者和提供者记录。未来几个月。
挑战
Care1st Health Plan Arizona 是一家位于凤凰城的医疗保健提供者,在将服务从马里科帕县扩展到皮马县时面临着重大挑战。这一扩张几乎在一夜之间将其注册人数从大约 50,000 人增加到了 70,000 多人。该组织必须快速更新或添加业务线记录、提供商小组和其他记录,以确保覆盖范围和报销提供商的连续性。此外,作为通过新的国家健康保险市场提供的亚利桑那州保险合作社新任命的第三方管理员 (TPA),该组织正准备在未来几个月内处理潜在的数千名新参保者和提供者记录。传统上,该组织每天使用多达 15 个不同的宏来执行大型数据输入和维护任务,但这些任务不可靠并且需要持续监控。小型提供商数据管理团队经常从日常工作中抽离出来,手动输入少于 200 条记录的较小作业。
解决方案
为了应对这些挑战,Care1st Health Plan Arizona 求助于 Nintex Foxtrot RPA 来实现流程自动化。 Nintex Foxtrot RPA 软件取代了低效的宏,并自动执行了多个与数据相关的任务,这些任务浪费了他们的时间和生产力。在 Nintex Foxtrot RPA 中,Care1st 聘请了一名“自动化员工”,他几乎可以处理现有员工使用鼠标和键盘执行的任何操作,但速度和准确性更高。该软件的智能脚本技术使任何人都可以轻松地在几乎任何应用程序的表示层中编写和执行脚本。即使在投资中包含的三小时基础培训之前,该团队也能够自动执行日常任务。该软件用于自动更新超过 43,000 条提供者记录、更新医师小组规模、重新处理和批准索赔以及更新 NDC 代码。
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