Case Study: Leading Healthcare Company in the UK achieves zero claim overpayments and faster claims processing with Datamatics Provider Book of Record (PBoR)

A Leading Healthcare Company in the UK Transforms Operations with Datamatics Provider Book of Record (PBoR) Solution

Leading Healthcare Company, a large UK‑headquartered international health insurer, needed to digitize provider onboarding, credentialing and contract management to stop revenue leakage and reduce manual, error‑prone processes. Wanting an integrated solution for provider management, contract/rate maintenance, claims validation and invoice reconciliation, they engaged Datamatics and its Provider Book of Record (PBoR) to address these challenges.

Datamatics implemented PBoR, a cloud‑based Dynamics 365‑built framework with real‑time integrations to policy, claims, finance and provider portals, automated contract approvals, RESTful two‑way integrations and invoice screening against contracted prices. Datamatics’ solution delivered measurable impact: 0% leakage from incorrect procedure pricing, 90% reduction in contract and rate validation time, 30–40% faster claim processing, 50% reduction in credentialing time and a 100% audit trail of claims.