The process was fully automated from end to end. 一天一次, 自动化被启动,并通过登录Meditech和通信总监传真门户开始. 在我公司, the bot navigates to the ‘Denial Management’ list, finds each Wellcare CO-250 or CO-252 denial on the work list, 并打开电子病历查看器以访问相关患者档案中的“提供者说明”. By ensuring all relevant documentation is included and sent promptly, the automation helps to reduce claim denials in the future.
机器人根据提供的标准列表查找与拒绝中列出的服务日期匹配的所有相关文档, determines if it should be included in a fax to the payer. If determined it should be included, 机器人被编程为使用组织的传真打印机下载文档,并通过传真门户发送. 一旦添加了所有相关文件,传真包就会自动发送给付款人. 然后,机器人向Meditech患者帐户添加一个标准注释,并关闭拒绝.