Case Study: CareOregon achieves faster, accurate behavioral health claims processing with Cognizant Robotic Automation Services

CareOregon saves 10,000+ hours monthly with Cognizant

CareOregon, Oregon's largest Medicaid health plan, faced the challenge of migrating its complex behavioral health claims contracts and processing to the Cognizant TriZetto QNXT platform without causing business disruption. A lengthy migration would have introduced errors and forced operations across two systems, negatively impacting the member experience. They turned to Cognizant Robotic Automation Services for a solution to accelerate the transition while maintaining accuracy.

Cognizant implemented nine software robots to automate critical data migration and ongoing claims processing tasks. This included aligning member and provider data and handling new authorization and pricing steps. The solution saved over 930 hours during migration and an average of 10,000 hours monthly thereafter, achieving a 162% return on investment. For Cognizant's client, this resulted in accurately processing claims for over 500,000 members without increasing staff.

CareOregon