Overview
A major hospital network partnered with Innoira to automate real-time insurance eligibility verification across multiple payer systems, eliminating the manual phone calls and portal checks that consumed staff hours daily and caused delays in patient care.
Business Challenges
Staff spent 4-6 hours daily on manual insurance verification calls and portal lookups
Verification delays caused patient frustration and delayed treatment initiation
High claim denial rates due to eligibility errors discovered post-service
Multiple payer portals with different interfaces required extensive training
Solution Implemented
Deployed RPA bots to automatically query eligibility across 40+ payer portals in real-time
Integrated verification results directly into the EHR and patient registration systems
Automated alerts for coverage gaps, prior authorization requirements, and benefit limitations
Created standardized eligibility reports for front-desk staff with actionable insights