Helping a National Pathology Network Reduce Provider Rule Processing by 75%
AI & Automation Enablement
The Challenge
A national pathology lab network was struggling to manage their provider rules and contracts. The process was entirely manual, which meant that it was slow, inefficient, and prone to errors. It could take weeks to get a new provider set up in their system, which was frustrating for everyone involved.
The team was spending a huge amount of time on manual data entry and contract administration, which was taking them away from more strategic work. They needed a way to automate the process to make it faster, more accurate, and less of a headache.
Pain Points
Slow and inefficient provider rule management
Entirely manual and error-prone process
Long delays in setting up new providers
Staff time wasted on repetitive administrative tasks
High risk of manual errors in contract administration
How We Helped
We used our AI & Automation Enablement service to build an intelligent automation solution that streamlined their entire provider rule management process.
Intelligent Rule Automation
We built a system that could automatically read and interpret provider contracts, and then use that information to set up the correct rules in their system.
Automated Rule Assignment
We created an automation that could assign the correct rules to each provider based on their contract, eliminating the need for any manual assignment.
Provider Management Dashboard
We built a simple dashboard that gave them a clear, real-time view of all their provider rules and contracts, making it much easier to manage.
Measurable Impact
The new automated system had a huge impact on their provider management process.
Happier Providers
Reducing the time it took to set up new providers and eliminating errors made for a much better experience for their provider partners.
Smoother Operations
Automating the entire process freed up the team from weeks of manual work, allowing them to focus on building stronger provider relationships.
Improved Accuracy
The automated system eliminated 100% of the manual errors in rule assignment, which meant fewer billing issues and happier providers.
Additional Key Outcomes
A fully automated provider rule management process
A significant reduction in administrative overhead
Faster onboarding for new providers
A more scalable and efficient system for managing provider relationships
Strategic Value
This project was about more than just automating a process. By eliminating the manual work and errors, we helped them provide a much better experience for their provider partners. They're now able to onboard new providers faster, which gives them a real competitive advantage in a competitive market.
Think We Could Help Your Lab?
If you're dealing with slow, manual processes or high error rates, we'd be happy to chat. See how our AI & Automation Enablement service can help you streamline your workflows and improve your provider relationships.
Automate complex, manual workflows
Eliminate errors and improve accuracy
Speed up provider onboarding
Free up your team for strategic work