Case Study: US-Based Fortune 500 Healthcare Company achieves 60% reduction in average claim settlement time with EdgeVerve AssistEdge RPA

AssistEdge RPA reduces average claim settlement time by 60% for a US based Fortune 500 healthcare company

The US-Based Fortune 500 Healthcare Company, which manages government‑sponsored health programs across multiple states, was struggling with large backlogs, high cost per claim and error-prone manual validation for complex, state‑specific Anaesthesia and COBA (Coordination of Benefits) claims. To improve turnaround, accuracy and customer experience they engaged EdgeVerve and adopted its AssistEdge RPA automation platform.

EdgeVerve implemented AssistEdge RPA starting with 10 bots and expanded to an enterprise license, delivering over 12 use cases with a pipeline for 90+ bots. EdgeVerve’s bots achieved 100% automation for Anaesthesia (2 states) and COBA (4 states) claims processing, cleared a backlog of more than 200,000 claims, and cut average handling time by 60% for Anaesthesia and 50% for COBA while providing exception logging and automated routing for discrepancies.