Pediatrix Medical Claims Reporting is 80% Faster with Data Integration
公司规模
Large Corporate
地区
- America
国家
- United States
产品
- Actian DataConnect
技术栈
- Data Integration
实施规模
- Enterprise-wide Deployment
影响指标
- Productivity Improvements
- Cost Savings
技术
- 平台即服务 (PaaS) - 数据管理平台
适用行业
- 医疗保健和医院
适用功能
- 商业运营
用例
- 监管合规监控
- 自动化疾病诊断
服务
- 数据科学服务
关于客户
Pediatrix Medical Group was founded in 1979 and has grown to become America’s leading provider of maternal-fetal, newborn, and pediatric sub-specialty physician services. The company is supported by clinicians and business professionals in a collaborative effort to provide the best patient services, backed by ongoing research, education, and quality improvement initiatives. This requires a flexible and scalable healthcare IT environment in which large volumes of disparate data can be managed with speed and efficiently. In the early 2000s, Pediatrix foresaw the need for heightened technology to manage the complexity and scale of big data in the rapidly changing healthcare environment and teamed up with Actian, adopting Actian DataConnect™ to address this challenge.
挑战
Pediatrix Medical Group, a leading provider of maternal-fetal, newborn, and pediatric sub-specialty physician services, was facing significant challenges in its claims processing due to lack of data integration. The company works with multiple clearinghouses for insurance claims and receiving claims status reports, each of which employs unique and complex formats in generating reports. The lack of data integration between internal applications and clearinghouses caused breaks in information flow, slowing down the claims review and reporting process, and creating a disconnect between reporting and other process steps in the Pediatrix patient life cycle. As the volume of the claims increased, these challenges grew more severe, causing bottlenecks and delays in insurance claims processing.
解决方案
Pediatrix adopted Actian DataConnect to automate its end-to-end claims processing. Actian DataConnect allowed Pediatrix to integrate, migrate, sync, validate, standardize, and enrich all of its claims data on a single platform. This improved claims reviews and reporting while integrating this step with other business-critical processes. Actian DataConnect established an event-driven, message-based infrastructure on which the company can connect to any data with greater visibility and control of the data integration environment. It transforms all the data and presents it as a single database table, reducing the time, resources, and risk of error involved in reporting, especially when medical claims are rejected and reports indicate that they must be resubmitted.
运营影响
数量效益
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