Case Study: Leading Prominent Eyecare Group achieves monthly savings of 1,500 man-hours by automating claims eligibility checks with Nividous

A prominent eyecare group saves 1500 man-hours per month automating claims eligibility check with Nividous RPA Bots

Leading Prominent Eyecare Group, which works with more than 40 insurance carriers and sees over 500 scheduled patients daily, faced a time-consuming and error-prone process of manually checking patient insurance eligibility across legacy systems with no direct carrier integration. To address this challenge the customer engaged Nividous and deployed Nividous RPA Bots to automate claims eligibility checks.

Nividous implemented bots that locate patient data in legacy systems, run rule-based searches on carrier websites, download eligibility details, update an internal portal, and log statuses and exceptions while providing on-demand patient-facing responses. The Nividous solution saved roughly 1,500 man-hours per month, achieved 100% data accuracy, increased efficiency by 60% and improved data auditability by 70%, while also automating related processes like claims submissions, scheduling and report automation.