Intelligent Automation Case Studies
Our Case Studies
At Four Point Health, we believe in a future where healthcare is not just a service but a seamless, empowering experience. Our innovative solutions, using intelligent automation, are designed to revolutionize the way healthcare is delivered, with a human centric approach to enhance efficiency, accuracy, and patient outcomes. Here is a glimpse into some impactful use cases that define our commitment to improving the delivery of healthcare:
Claim Status & Response
Large mid-west regional healthcare system needed to increase the frequency and efficiency of claim status checks and the resulting responses.
- $13.2M+ Value
- Increased Speed To Cash
Credentialing And Enrollment
Client was experiencing an increase in denials from missing or incorrect physician credentialling and plan enrollment largely due to increased physician turnover.
- $9.5M Value
- Reduced Labor Costs
Pre-Authorization Automation
$8B Mid West healthcare system manually processing 1.6M pre-authorizations annually wanted to automate its pre-authorization processes with the following objectives:
- $9.5M Value
- Reduced Labor Costs
Risk-Based Care Management
To improve high-risk pregnancy outcomes Client asked Four Points to re-write their risk prediction model.
- $22.7M+ Saved
- FTE Cost Reduction
Credit Balance Clearing
75 FTEs were working Credit Balances daily across HB & PB accounts totaling more than $43M in credit balances.
- $4.2M Value
- Cost Reduction & Penalty Avoidance
Eligibility & Benefits Verification
Client needed to streamline EBV processes across multiple regions and separate EHRs.
- $11.8M Value
- FTE Reduction & Revenue Increase
Patient Outreach
Nurses were spending 2.5 hours/day entering patient notes into Care Management system following outreach sessions.
- $12.3M Value
- Increased Patient Retention, Increased Patient Capacity, Lowered Healthcare Providers Costs
Referral Management
A consistent lack of referral capture was creating significant backlog in claim processing.
- $5.6M Value
- FTE Reduction & Speed To Cash
Remittance Posting
An 80-person team was manually processing remittance postings everyday and client needed to reduce the huge backlog.
- $3.2M Value
- FTE Reinvestment
Talent Acquisition
The nursing shortage and turnover significantly increased Client’s TA efforts to 90k candidate reviews annually.
- $14M Value
- Replacement Cost & Onboarding Cost Reductions
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