Case Study: Guidehouse reduces payer denials with Automation Anywhere

Guidehouse reduces $44M in payer denials with Automation Anywhere

Guidehouse, a consulting firm for public sector and commercial markets, faced a significant challenge with a health system client experiencing $44 million in annual denials due to an inefficient insurance eligibility verification process. To address this, Guidehouse partnered with Automation Anywhere, leveraging its Process Discovery technology to analyze the client's operations and identify key failure points.

Using Automation Anywhere's technology, Guidehouse implemented a solution combining conversational AI and Intelligent Automation. This enabled the health system to automatically contact payers for updated information and correct patient files, significantly reducing denials. The Automation Anywhere solution eliminated over 2,000 hours of employee rework and identified seven additional automation use cases, providing a strong return on investment.

Guidehouse