The Joys of Automating Your Claims Adjudication Process

Automating Your Claims Adjudication Process Comes with Significant Benefits

Doing more for less seems counterintuitive, but it is the norm for automation. Digital tools are now turbocharging organizations that initially failed to connect with today’s view of managing talent, networks, innovative processes, and technology. 

As auto-adjudication hogs the spotlight in the efficiency imperative, it is vital to point out the enormous benefits of embracing automation in your claims adjudication process.

Faster Claims Processing

Automation turns complex tasks into stress-free, touchless operations that you can exploit to be in control of the claims life cycle. A customer service study made by Accenture found that 95 percent of participants place fast claims processes as the most important factor in their level of satisfaction. 

By automating your claims adjudication process, you are not only maximizing efficiency but also taking care of your customers (patients) and expediting settlements.

More Time to Focus on High-Impact Tasks

A recent study on employee satisfaction found that by 2030 people at work will spend more time developing advanced technology skills. Furthermore, industries like healthcare will also experience a bigger demand for people with powerful soft skills to improve the patient journey.

With that in mind, auto-adjudication will allow your staff to concentrate more on high-impact tasks, like assessing highly complex claims, developing insight-driven strategies with large volumes of data, or finding training opportunities to deliver a better service.

Lower Operational Expenses

Using leading-edge technology to fast-track your auto-adjudication enables you to better manage two critical resources: time and staff.

According to a recent study on automation programs in the private payers arena, automated tasks bring operational expenses down to 30-40 percent, while doubling efficiencies. Haven’t you seen the bigger picture yet?

Zooming in on claims efficiency through automation helps your team not only reduce your operational costs, but also allocate more funds in the pursuit of automation improvements or tap into other equally important, bolt-on technologies that could trigger more savings, reaching a goliath level of efficiency.

Better Services for the Modern Patient

We started a new decade with a health crisis at the door, walking us through a digital revolution that is currently reshaping patient expectations at a faster pace. An online survey in 2019 found that only 29 percent of Millennials were satisfied with the quality of the healthcare system, which includes payment among other patient-related processes. 

Furthermore, 92 percent of consumers expect to be informed about their payment responsibilities in advance and prior to visiting a provider. These findings suggest that your claims processing, importantly auto-adjudication, should match the persisting expectations of the modern patient. 

Focus on claims adjudication that accelerates turnaround times, which can only be enhanced through the right use of automation.

Ready to Automate Your Claims Adjudication Process?

Adding efficiency to your claims management process makes all the difference in today’s digitally progressive world. As we covered, auto-adjudication does not just help you accelerate your performance, but also improves the quality of your service.

There is no question that automation makes things easier, but now is the time to choose the right software solution to turn challenges into exciting opportunities.

Our QuickCap 7 solution comes with a range of features that will enable your team to manage claims, including adjudications, like never before.

QuickCap’s Rule-Based Adjudication at a Glance

With our AI-assisted software solution, you will be able to:



• Handle various claims formats like EDI files, scanned claims, and more!
• Combat fraudulent and invalid claims
• Set EDI standards to communicate between trading partners
• Power eligibility and authorization work with rule-based configurations
• Secure reliable payment calculations with greater accuracy

Hold on! QuickCap 7 also helps your organization streamline administrative and clinical processes at a competitive level.

Keep track of changing data - Personalize your dashboard according to your needs and stay connected with your workflows using our powerful task management system.

Automate the repetitive - Notice the difference between age-old systems and our modern approach towards faster claims processing and boost productivity.

Forge an insight-driven business - Use our reliable risk-stratification and predictive analytics tools to make well-informed decisions and build confidence throughout your business.

Winning the claims adjudication game in healthcare can be troublesome. But we are always open to discuss how QuickCap 7 can make a difference in your organization by streamlining the manually intensive tasks that stop you from scaling your organization.

Automate Your Claims Adjudication Today