Case Study: a third-party administrator of health insurance claims improves claim processing and increases revenue with Logan Consulting and Microsoft Dynamics 365

a third-party administrator of health insurance claims increases claims processed each day with Logan Consulting

The Client, a third-party administrator of health insurance claims, was inefficiently processing thousands of daily claims through manual methods like spreadsheets and email. This cumbersome process prevented data analysis and caused the company to miss revenue opportunities. Logan Consulting was engaged to address this challenge.

Logan Consulting implemented a Microsoft Dynamics 365 CRM solution featuring Case Management and Customer Service. The design included integrations with a data warehouse for automated claim analysis, tools for tracking case notes and time, and security for HIPAA compliance. As a result, the client significantly increased the number of claims processed daily, generating more overall revenue and gaining robust reporting and automated notifications. The solution proved critical for handling increased claim volume during the COVID-19 pandemic.

The Client