CNU overhauled its approach to medical bill processing, embracing IBM Enterprise Content Management solutions to digitize documents and automate workflows. In less than six months, the company was able to transform mountains of paper files into a rich store of electronic content and introduce an advanced case management platform that streamlines medical bill analysis and processing.
Felipe Garcia Rios comments: “Unlike other vendors, who could only offer a mix of point solutions, IBM was able to deliver the complete package. We got everything we were looking for in a single, integrated platform.”
Today, when CNU receives a bill, it scans the document and uses an IBM® Datacap solution to automatically capture and index key information from the electronic file. All of the digitized bills are stored in a central IBM FileNet® Content Manager repository.
IBM Case Manager provides analysts with a single point of control for processing medical bills. From one screen, users can view all the information related to a particular item, including a detailed breakdown of procedures and prices, along with a copy of the original medical bill itself. CNU has also established a series of task workflows that guide analysts through every step they need to review and process a bill.
The Case Manager platform is seamlessly integrated with FileNet Content Manager and CNU’s core enterprise resource planning (ERP) system, giving analysts easy access to a wealth of data on payments, customers and providers.
Gearing up for growth
CNU’s new approach to medical bill handling has supercharged the productivity of analysts and enabled them to work in a much more flexible way.
“Moving away from paper has completely changed the way that people work,” states Felipe Garcia Rios. “Our analysts no longer need to hunt through boxes and filing cabinets to find the information they need; all they have to do is perform a simple search and the relevant content will appear on their computer screen. And as multiple people can access the same documents simultaneously, there’s no need to wait around for specific records, so analysts can get right down to work.”
He continues: “With easier access to content and more automated processes, our analysts can manage their workload much more effectively, and get through a much higher volume of work than before.”
The efficiency gains have translated into shorter cycle times and impressive cost savings, as Paulo Januzzi, Director of Healthcare and Exchange, explains: “Since introducing IBM Enterprise Content Management solutions, we have reduced the time taken to analyze medical bills by 35 percent, and have shortened the average processing time for bills by 10 percent. The result is that analysts can make timelier decisions about paying bills and CNU can reimburse healthcare providers faster, helping us maintain positive relationships with these partners.
“What’s more, by minimizing our use of paper and making other process improvements, we have been able to cut administrative costs by 90 percent. This has delivered a huge boost to our bottom line.”
Embracing electronic content and workflows has enabled CNU to break down the barriers to growth, enabling the company to scale up operations to manage rising business volumes without increasing headcount.
Felipe Garcia Rios notes: “We have taken medical bill processing to the next level with IBM Enterprise Content Management solutions. Teams are working faster and more accurately, and we have been able to handle a much higher workload without taking on additional staff. We now have the solid foundation we need to keep growing our business and deliver consistently excellent service to our partners and customers, who rely on us for cost-effective access to healthcare.”