Eligibility Checks/Verification

Healthcare

Accuracy, Time Savings, Traceability

The DW is designed to use a listing of clients from CentralReach, go out to various sites ranging from states sites such as Kentucky or Payor sites for United Healthcare, to check if a specific client is eligible for Medicaid or another insurance. If verified, updates are made within CentralReach directly and a report is provided to the customer

Integrated Applications

Central Reach, EyeCare (Compulink)

Similar Digital Workers

The DW is designed to check the parameters outlined in CentralReach and the EOB in Waystar, and mark the claims that should have a patient responsibility applied with it.

Patient Responsibility

Healthcare, Insurance

Accuracy, Time Savings, Traceability

Patient Responsibility, PR, PR Posting

Central Reach, Waystar

This DW is designed to download multiple, regional reports from Central Reach that have client information in them. Using these reports, the digital worker selects every unique provider. For each unique provider, the digital worker then randomly selects a client that the provider is responsbile for. It then selects two random sessions between that provider and client, ensuring that the sessions are in different months.Once it has done this for all of the un

Activity Statements Audit

Behavioral Health, Healthcare

Accuracy, Time Savings

Auditing, Audit

Central Reach

This DW is designed to reconcile claims that have outstanding payments or claims that should have zero payments. These payments will be processed and updated in the client systems.

Payment & Zero Pays

Healthcare, Health Payor, Insurance

Accuracy, Time Savings, Traceability

Medical Billing, Billing, Payment, Zero Pay, Zero Payments, Denials, EOB, Explanation of Benefits

Central Reach, Waystar, WebPT