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Claim Control Engine™ for Payers
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$2 Billion in Avoidable Healthcare Costs
Americans submit over 3.2 billion health care claims each year. Over 20% of these claims require a human to settle. The average cost to manually work a claim is about $3.50. That represents over $2.2 billion dollars that can be eliminated from the health care system each year. Triangle BPA's innovative technology allows claims automation to be built more effectively then ever before.
Claims Automation - Smarter, Faster, Cheaper
Triangle BPA's approach to Claims Automating is simple yet innovative. Using a powerful Claim Control Engine™ we quickly automate existing manual processes. The Engine performs the repetitive tasks necessary to automate claims. It accepts modules called ReInActs™- Review, Inspect and Act. A ReInAct applies the same steps a Claims Examiner follows when settling a claim manually.
BPA - the Next Step in Business Process Management
Business Process Automation (BPA) is defined by WIKIPEDIA as "the process a business uses to contain costs. It consists of integrating applications, restructuring labor resources, and using software applications throughout the organization." Triangle BPA applied these principles to claims automation providing immediate savings to your claims organization.
How much do you pay to process a claim?
What percentage of your claims are paid without human intervention. What is the PMPM of paying claims manually? The cost of a human touching a claim adds between $2.50 and $7.00 per claim to your administrative expenses. Triangle BPA's solution can cost effectively automate the majority of the human activities required to settle suspended claims.
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Automating claims raises medical expenses.
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A lot of health insurance payers believe this myth to be true; increasing your first pass rate means you have to approve payment for claims that should be denied. Or, maybe you think the cost of building new automation is greater then the potential savings. Triangle BPA can be the myth buster you need to reduce administrative expenses with without increasing healthcare dollars!
How much can you save with claims automation?
If you have 50 claims examiners you're paying at least $2.5 million each year in salaries. Add in recruitment, training, office equipment, IT support, floor space and it could be twice that cost. Triangle BPA can help you cut that cost in half, maybe more. Our Savings Estimator allows you to enter a few metrics about your claims inventory and determine your potential savings.
$2 Billion in Avoidable Healthcare Costs
Americans submit over 3.2 billion health care claims each year. Over 20% of these claims require a human to settle. The average cost to manually work a claim is about $3.50. That represents over $2.2 billion dollars that can be eliminated from the health care system each year. Triangle BPA's innovative technology allows claims automation to be built more effectively then ever before.
Helping Payers
Automating a Manual Claim Process
Interfacing to Existing Systems
Automation Areas in the Claim Process
Harnessing Extreme Development Speed
Immediate Impact of Healthcare Reform
Reduce Adjudication Engine Complexity
Achieving Immediate ROI
Pay for Value
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Triangle BPA's mission is to automate the claims processing tasks based on simple or complex business rules. This results in a reduction of administrative expenses and claim dispositions that are repeatable, consistent and auditable.
The innovative Claim Control Engine™ automates claim processing based on desired outcome. Claim repairs can be automated in hours or days instead of weeks or months.
Understand the Basics
Webinar Series:
Optmizing
Claims
White Paper:
Calculating the Cost of Paying Claims Manually
White Paper:
Claims Automation
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RapidBPA
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