Case Study: Fortune 100 Healthcare Organization achieves 12-hour faster turnaround, improved claims accuracy, and major cost savings with Aptara

Fortune 100 Healthcare Organization - Customer Case Study

A global business process outsourcing (BPO) firm that provides document management and financial transaction automation faced service-quality problems for its Fortune 100 healthcare claims processing customer: inconsistencies in exceptions processing and high chart recycling led to lagging service metrics. The BPO engaged Aptara to accurately process more than 1 million Medicare claims per month, meet predefined SLAs within 18 weeks, and significantly shorten turnaround times.

Aptara implemented a cost-effective, monitored workflow with tiered skill-level staffing, built IT infrastructure, and used web-based training plus real-time monitoring and reporting to match staffing to volume. The changes cut turnaround times by 12 hours, substantially reduced recycled claims, exceeded SLA quality benchmarks, and delivered significant cost savings and increased shareholder value.