As part of a multi-year strategy of digital enablement and transformation, this provincial healthcare agency looked to modernize their claims and inquiry processes to reduce tedious and manual processes required of their medical service providers so they can spend more time focusing on patient care. Their current processes had multiple challenges including:
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- A highly manual new doctor registration and licensing process despite the use of scanned application forms
- Medical claims inquiries were tedious requiring many duplicate data requests, placing a significant burden on medical providers
- As a single payer health system with thousands of claims submissions each week, their arduous claims submission process led to severe bottlenecks
- Multiple request processing platforms made tracking inquiries across the agency difficult
Their goal was to drive to an automated, single-claim submission model for agency-wide efficiencies and they looked to Emtec to make it a reality.
