Expansion of Claims Automation for Health Payer via Snowflake Integration

A health payer client expanded claims automation by integrating Snowflake with existing systems, enabling seamless ZAP file generation. The solution scaled processing, reduced errors, and improved efficiency. Automation ensured SLA compliance and delivered significant ROI, reducing manual transaction time by 30-40% through streamlined operations and enhanced data accuracy.

Approach

  • Extended automation to process health payer claims using Snowflake and ZAP file generation.
  • Implemented short-term integration with internal systems for immediate scalability.
  • Delivered an MVP aligned with the client’s go-live date for minimal delays.

Delivered Solution

  • Automated health payer claims processingfrom internal systems and Snowflake forZAP file creation.
  • Seamlessly integrated Snowflake to ensure smooth data formatting and routing.
  • Designed a scalable solution for high-volume claims processing with minimal manual intervention.

Value Generated

  • Enhanced Scalability: Increased processing capacity, reducing reliance on manual efforts.
  • Error Reduction: Reduced error rate by 20%, minimizing rework and improving accuracy.
  • Improved SLA Compliance: Faster file generation enabled timely delivery and adherence to SLAs.
  • Significant ROI: Achieved a 30-40% ROI through reduced manual efforts, fewer errors, and faster processing.

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