Case Study: Leading Healthcare Giant achieves 100% accuracy and 50% cost reduction in eligibility verification with Datamatics' TruBot

TruBot Enhances Eligibility Verification For A Leading Healthcare Giant

Leading Healthcare Giant, a highly diversified Fortune 500 company in healthcare and well‑being (with $201 billion revenue and networks of 1.2 million providers and ~6,500 facilities), needed to automate policy eligibility verification. The organization faced rising inbound requests from medic‑aid agencies, complex evaluation and authentication requirements, manual and error‑prone processes, delayed verifications and long turnaround times.

Datamatics implemented TruBot, its proprietary Robotic Process Automation (RPA) solution, to auto-validate eligibility requests, auto‑route inquiries, perform content evaluation, and transfer data error‑free between systems. The Datamatics deployment delivered measurable impact: 100% accuracy in data verification and analysis, a 50% reduction in resource cost and workload, and 60–90% faster verification and response times, substantially reducing TAT.