SYSTEM AND BUSINESS
AUTOMATION

Programmatic solutions enabling your data to flow automatically while simultaneously incorporating insights that are “learned” from the data.

We specialize in identifying

cost-saving, user-friendly opportunities that automate manual processes for our healthcare clients

Working with new and mature technologies, the solutions we provide are robust, comprehensive and manageable. Years of experience consistently confirm: fine-tuning business processes with data automation is the best way for an organization to save time and money.

 

11B

The Council for Affordable Quality Healthcare (CAQH) estimates that U.S. Healthcare industry can save an additional $11 billion annually in automating business processes around claims and eligibility data.

To learn more about our latest automation whitepaper: “How You’re Leaving Money on the Table and What to Do About It.”

Download White Paper →

Spotlight

100% Audit

Reliably and easily evaluate paid claims on a periodic basis for potential errors in pricing. Our automated system handles payer outreach, creating a cost-effective way to review overpaid claims and recoup misspent funds.

  • In the past 12 months, one client has used 100% Audit to identify more than 13,000 overpaid claims—resulting in requests for recovery of more than $3 million.
  • Since starting the process in 2010, our client has requested recovery on more than $14 million in overpaid claims.
Spotlight

Claims Attribution

Match patients to their ideal Primary Care Physician through automated analysis of provider encounter history. With Claims Attribution, ACOs have better visibility into patient care and can better measure PCP performance, resulting in simplified administration and improved patient experience.

  • Since 2017 we have matched over 80,000 patients to a PCP for our client.
Spotlight

Web Automation

Easily upload, process, analyze and report on web-based data and operations. We build programs that automate payer claims, integrate CMS data and report on ACO requirements.


Why
Automate Claims?

Byte Sized Solutions claims processing is a proprietary automation system using Robotic Process Automation (RPA) to handle the mundane and complex manual tasks of processing claims. Through our years of experience across many payors we have identified and mastered all the unique characteristics and requirements necessary for successful claims submissions.

Modernize

Your Practice


Optimize

Your Claims
Management

  • Better Claims Management
    Reduce claims turnaround time


  • Claims Viewer
    See & search all payor claims in one location


  • No More Errors
    Eliminate reliance on human claims processing


  • Error Resolution Tool
    Quickly view all claims errors in one location


  • Redirect Employees
    Apply your team to higher value tasks


  • Comprehensive Reports
    Offer insight into claims processing analysis


  • Get Claims Alerts
    Monitor claims issues and provide notification

Are you struggling with automation
in your organization?

SPOTLIGHT

blue-cross-blue-shield-logo

Motivation for Automation


Recover more money
Our automated claims submission has several built-in alerts to catch issues that may have been overlooked in the past. Searchable database makes it easy to review, follow-up and quickly resolve errors.

Reclaim your weekends
Claims submissions usually have windows of a few days per month where claims can be submitted and sometimes that falls on “off days.” When the process is automated, there is no need for staff to work the weekend.

Vacation and sick days, we’ve got you covered
Typically, the burden of manually submitting claims falls on the shoulders of 1 or 2 people in an organization. Automation eliminates the stress of scrambling to cover for the times when staff needs to be away.

Eliminate errors
Automating the claims submission process removes human error. The process is defined and executed the same each time eliminating the possibility of human error in the submission process.

Reduce staff hours
Our clients typically save 10-20 hours a month just on the mundane tasks required to manually submit BCBS claims. Free up those hours to focus on more important work.

Holistic View
Access to detailed executive summary reports that aggregate all claims data.