Claim Processing Speed Improved 38%
How we helped a regional medical practice consolidate data sources and automate ETL processes
The Challenge
A regional medical practice with 12 physicians was struggling with fragmented data across three systems: their Electronic Health Records (EHR), billing platform, and insurance verification service. Claims processing required manual data entry across systems, leading to errors, delays, and staff frustration. The average claim took 8.5 days to process, impacting cash flow and patient satisfaction.
Our Solution
Data Consolidation
Built a centralized data warehouse that pulled information from all three systems into a unified dashboard
Automated ETL
Implemented nightly ETL processes to sync data automatically, eliminating manual data entry
Real-Time Dashboards
Created Power BI dashboards showing claim status, aging reports, and denial trends in real-time
Validation Rules
Implemented automated validation to catch errors before claims submission, reducing rejections by 52%
Results
- Claim processing time reduced from 8.5 days to 5.3 days (38% improvement)
- Manual data entry eliminated for 95% of claims
- Staff time saved: 15 hours per week, reallocated to patient care
- Error rate decreased by 52%, improving first-pass acceptance rate
- Cash flow improved with faster reimbursements and better denial management
Technologies Used
"The automated system has transformed how we handle claims. Our staff can now focus on patient care instead of data entry, and we're getting paid faster."
— Practice Manager, Regional Medical Group