Professional Documents
Culture Documents
Organization
The customer is a leading specialty care management company with an
Processes automated
exclusive focus on cancer and cardiac care. The company focuses on Patient data extraction
transformation of the delivery of oncology and cardiovascular care by Patient data review
aligning healthcare payers and specialty providers with smart technology, Patient claim submission
clinical data analytics, and deep clinical expertise.
Industry
Healthcare
Challenges
A desire to improve patient experience drove this client to review the
potential to transform its back-office operations. Disconnected systems
required a ‘Swivel-Chair’ solution in order to manage patient data. Manual management of
unstructured data was significantly
More than ten employees were required to manually extract and
delaying our claim submission
review patients’ data
process. Nividous Bots automated
Documents received by fax or scan were highly unstructured,
the data extraction, review, and
unclear and sometimes illegible
claims submission tasks, enabling a
Due to diverse document structures, no fixed extraction template
reduction in a process handling time
existed
by 70%. We are glad that our staff
Documents received in bundled PDFs, causing delays in processing
can now focus on more productive
and client communication
tasks.
High probability of errors, omission of required data and associated
claims rejection
COO
Delayed payments due to a backlog of claims filing A Leader in Specialty Healthcare
Solution
Within two weeks, the Nividous team developed and deployed Nividous Bots
For more information on how healthcare
with cognitive capabilities to automate end-to-end data extraction, review,
professionals use Nividous platform visit:
and claim submission process.
https://nividous.com/case-studies#healthcare
Benefits
MIKE
Bundled Documents
Provider XYZ
Insurance Med Primary: HUMANA - 0000 Lorem Ipsum is simply dummy text-000000
Insurance #: A12345678 Patient DOB
Employer Name: RETIRED
on Patients Records
Pre-scription: DSTPSDIR - Member is eligible
Chies Complaint
02/11/1940
post-op, check, prostate cancer
Patient’s Care Team Patient Height (Inches)
Urologist:
Primary Care Provider: Lorem Ipsum is simply dummy text of the printing and typesetting industry. 69
Optometrist: Lorem Ipsum is simply dummy text of the printing.
Endocrinologist: Lorem Ipsum is simply dummy text of the printing and typesetting industry. Patient Weight (Ibs)
183.6
Section 1.10.32 Lorem Ipsum is simply dummy text of the printing and typesetting industry. 12345,
ph(123) 123-4567, Fax (123-4567
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Structured
extracted details
Template Description
Patient Middle Name
Patient details template to extract the patient information
Patient DOB
User review tasks include intuitive user interface for
Upload File
110
88
Patients by service type
66
Cardiogy
44
22
Oncology