Transforming Provider Onboarding At A Fortune 500 Healthcare Company

A Healthcare company that focuses exclusively on providing government-sponsored managed care services, in North America, required to automate business processes to improve provider on-boarding timeframe, for market competitiveness.

  • The Challenge

    Provide a system to accelerate provider network enhancement.
    • Provide a unified Provider 360 view.
    • Maintain data integrity between three core existing business systems (Prospecting, Contracting and Provider Relations) in ever changing business scenarios.
      Avoid swivel chair and provide a unified work space.
    • Need to automate business processes to improve provide on-boarding time frame for market.
  • The Solution

    A unified, automated provider contracting platform that modernized all aspects of the client’s complex provider relationships.
    • Integrated smart BPM to manage workflow, SLA, business rules, integrations with internal systems and provide regular updates to consuming systems.
    • Parallel processing of cases by creating sub cases and tasks.
    • Intelligent routing of cases based on agent availability, skill and work load.
    • The Network Management application was built as an end–to-end solution, which empowered business to configure state-specific rules.
    • This reduced dependency on technical resources, thereby debottlenecking the process and accelerating time to market.
  • The Benefit

    Automated Provider Contracting by leveraging industry-leading HCIF and other core PRPC workflows & business rules.
    • Slashed the client’s Provider onboarding time frame from 90 days to 40 days, a 53% reduction.
    • 587 use cases built in just 020 weeks with 70% of functionalities being re-usable.
    • Onboarding time for standard contracts reduced to 15 days.
    • Complete elimination of documenting misses and errors.
53% reduction
in Client's Provider onboarding timeframe

With PLM, managing provider relationships no longer needs to be an expensive, inefficient and time consuming process. PLM provides you the ultimate 360 degree view, helping you make informed decisions on the go.

It’s time to work smarter!

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