The Challenge
Meeting Unprecedented Demand While Ensuring Compliance
As one of the largest public healthcare providers worldwide, the US Department of Public Health needs to consistently provide access to quality care and services.
Unprecedented demand for Covid-related services, and self-registration on state and county online health platforms, led to inaccuracies in patient and insurance information. Stringent regulatory mandates around patient eligibility also complicated the ability to provide access to care.
US Public Health departments, county hospitals, and the integrated health delivery systems were looking to: improve accuracy; streamline billing, claims processing, data management and reporting capabilities; and comply with regulatory mandates.
The Outcome
Automating Processing for Greater Accuracy and Efficiency
Sutherland implemented the E-Hub platform. Its advanced capabilities include digitizing patient information, eligibility verification and claim status inquiries, seamless billing initiation and payment posting, streamlined claims processing, and robust data management, reconciliation, insurance discovery, and reporting.
The solution ensured the Department of Public Health met strict regulatory requirements, and simultaneously enhanced its accuracy, efficiency, and reporting capabilities.
As a result, more than 14 million US citizens were able to access the patient care they needed.
Patients supported with streamlined care access
In payments for end customers
Reduction in claims-related processing turnaround time
Want to learn more about Sutherland’s E-Hub platform?
Services
Digital Engineering Services
Industry
Healthcare
