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Industry:Healthcare

Region:North America

Client:CareSource

CareSource is delivering better healthcare with intelligent automation

healthcare-epidemic-automation-solutions

90%

of invoices processed automatically

50%

reduction in manual labor

98.5%

auto-adjudication rate for claims, up from 92%

CareSource: Streamlining healthcare document processing to serve members better

Streamlining healthcare, one process at a time

CareSource has always been member-first and always will be. Despite its growth, it’s never lost sight of the difference it can make in members’ lives by helping improve their health and well-being. This focus drove CareSource to rethink how it was processing large volumes of critical healthcare documents. For example, it sought to eliminate struggles its Claim, Utilization Management, and Clinical Management (C/UM/CM) team had in reviewing a wide range of documents from vendors, providers, and members within its stated service level agreement.

The way we want to take our company forward is to take advantage of AI in everything that we do as a company. We look at automation as an opportunity to not only reduce costs and manual work, but just as importantly, to improve the quality of the work. It translates into the money that we save that we can invest in the care of our members, the growth of the company, and the growth of our employees.

Satendra Shukla

Outcomes:

  • Improved claim processing efficiency: CareSource enhanced its claims processing, reducing manual intervention for faster turnaround times and improved service delivery 

  • Enhanced prior authorization and invoice processing: They optimized the handling of prior authorization, faxes, and invoices, mitigating delays and ensuring consistent service delivery 

  • Transformed clinical operations: AI and robots ™revolutionized various clinical processes, enhancing accuracy and overall operational efficiency

Additional resources:

Like CareSource, meet other the 2024 UiPath AI25 Award winners, showcasing the power of AI and automation across industries. Discover how these leading companies are leveraging the UiPath Platform™ to drive innovation, improve efficiency, and redefine success.

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