Case Study: Leading Medical Billing Company achieves 75% reduction in manual effort and 70% reduction in human errors with Nividous RCM solution

Medical Insurance Claim Automation for a Leading Medical Billing Company

Leading Medical Billing Company, a nationwide leader in revenue cycle management across 24 specialties, struggled with a manual, error-prone claim submission process that required verifying and transferring patient records from its EHR to the Maryland State Medicaid portal and left a backlog of roughly 6,000 aged claims. To modernize RCM and remove these inefficiencies, the customer partnered with Nividous and adopted the Nividous RCM solution.

Nividous deployed intelligent RPA bots on its platform to identify and classify claims, enter and validate Medicaid claim fields, save and attach ERA forms, and trigger exception-handling emails—automating the Medical Insurance Claim Processing workflow. The Nividous solution eliminated the backlog risk, cut manual effort by about 75%, materially improved process turnaround time (reported up to ~85%), and reduced human errors by roughly 70%.