TPA Insurance and Corporate Credit Business

Some of the key challenges were:

• The process was moderately complex required checks and validation from multiple departments
• Time intensive job with expertise needs for execution depending on scenarios
• High individual dependence and various departments in presence contribute to delays in the process
• The possibility of human error was high in processing

• Bot extracts patients that have been insured who receive cashless care
• Bot generates receivable ledger entries in SAP which triggers auto-mail to respective TPA
• Bot checks mail & website for receivable payment, if payment is received then bot adjust the ledger entry in SAP as per business norms
• Bot sends the customer e-mail and creates the payment file for the bank

• Ensure continuity of operation during influx transaction
• Keep a high customer satisfaction ratio
• Reduction of effort: 70 to 100%
• Staff were redeployed to perform valuable operations
• Financial and compliance risk minimized
• Reduce hospital backlogs
• Efficiency improved