Expedited healthcare provider onboarding with 90% reduction in turnaround time
Healthcare payer firms receive requests from providers such as physicians, hospitals and clinics pertaining to new enrolments, modification of information, cancellations etc. The requests come in various templates and formats such as excel, pdf, or scanned images and need cleansing, validation and standardization before details are entered into downstream applications. The processing includes conducting due diligence checks, ensuring completeness of information and checking against rule book before updating the data and supporting documents in various systems. This process is mostly manual and therefore, time consuming and prone to errors.
Wipro HOLMESTM digitalizes provider network management by applying cognitive data standardization and validation techniques. Through intelligent processing of unstructured data received in various formats, HOLMES achieves 90% reduction in provider request turnaround time, 40% reduction in processing costs and mitigates risk through validation of provider data with external sources.