Claims Filing and Status Tracking – UiPath RPA Automation

The client is a global healthcare services organization managing multiple clinics and patient monitoring programs. They operate a variety of EMR systems across locations, handling high volumes of patient data, including RPM reports, encounter minutes, and ICD/CPT coding. With a focus on delivering quality care and timely claims processing, the client sought a scalable solution to eliminate manual errors and improve operational efficiency across their claims management workflow.

Business challenge

The client struggled with a highly manual and fragmented claims filing process across multiple clinics and EMR systems. Patient encounter minutes, RPM readings, and ICD/CPT codes were entered and validated manually, increasing the risk of errors, delays, and rework. Claims status was tracked through spreadsheets, limiting visibility into approvals, rejections, and revenue leakage. As patient volumes grew and new EMRs were added, the process became difficult to scale without increasing headcount. The client needed an automated, accurate, and scalable solution to streamline claims submission, ensure data consistency, and improve revenue realization

Transformation

By implementing AI-driven RPA, the client transformed its end-to-end claims filing and tracking process. Patient encounter data, RPM readings, and ICD/CPT codes were automatically extracted, validated, and synchronized across multiple EMR systems. Claims were filed without manual intervention, and real-time status tracking provided clear visibility into approvals and rejections. The automated workflow eliminated human errors, reduced processing time significantly, and enabled seamless scalability as volumes increased. As a result, healthcare staff were redeployed to higher-value activities, revenue cycles became more predictable, and overall operational efficiency improved across clinics

Outcomes

About The Client

The client is a global healthcare services organization operating multiple clinics and managing large volumes of patient data. They work with diverse EMR systems, including ECW, Practice Fusion, HealthFusion, and Greenway, to handle RPM readings, encounter minutes, ICD/CPT coding, and claims submissions. As their operations scaled, the client aimed to improve accuracy, streamline claims processing, and gain better visibility into revenue performance without increasing manual effort or operational overhead.

Take the next step

Ready to simplify your claims filing and gain real-time visibility into claim statuses? Contact us today to explore a tailored automation solution that improves accuracy, accelerates reimbursements, and empowers your healthcare teams 
Auxiliobits helps healthcare organizations transform claims operations with AI-enabled automation, streamlining claims filing and status tracking, ensuring data accuracy, and improving efficiency across multi-EMR healthcare workflows