Case study: Healthcare
The Sagility team implemented several initiatives gleaned from our experience across the payer-provider lifecycle, for both upstream and downstream impact. We assigned our team members to in-house strategies to:
- Address claims rework returns with education and knowledge management.
- Work on earning more same-day adjustments to quickly resolve query with the claims team.
- Influence member NPS® through provider experience.
- Tackle simple adjustments by empowering provider advocates to solve simple queries.
We achieved real outcomes for our partner.
18% reduction in route-back cases (from 21% down to 3%)
1.39% reduction in adjusted cases (from 1.78% down to 0.39%)
24% decrease in maintained cases (from 28% down to 4%)
3.82% reduction in duplicate cases (from 3.9% to 0.08%)