Case Study: Leading Healthcare Specialty Infusion Provider achieves 80% processing-time savings and 100% error elimination with Nividous

Automating Insurance Verification Process for a Leading Healthcare Specialty Infusion Provider

Leading Healthcare Specialty Infusion Provider is a market-leading specialty infusion services organization that struggled with a highly manual insurance benefits verification process — about 20k–25k records were checked yearly by staff, making the work time-consuming, error-prone, and detracting from patient care. To address this, the organization partnered with Nividous and deployed the Nividous Intelligent Automation platform to automate pharmacy and medical insurance verifications.

Nividous implemented an automated bot that logs into applications, compares and updates patients’ active insurance details, calls insurer APIs and websites to validate benefits, and sends SMS requests when information is missing; it processes only patients with appointments in the prior 90 days or planned visits within six months. The Nividous solution delivered measurable impact: 80% savings in processing time, 100% elimination of human errors, and a 75% productivity improvement, freeing staff to focus more on patient care.