Case Study | Healthcare

Sutherland’s E-Hub platform automates compliant health data exchange and streamlines billing, processing, and reporting to enable greater access to Covid-related care services.

Services Digital Engineering Services
Industry Healthcare
JULY 10, 2024

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.

A Centralized
User Management Solution

Starting by evaluating existing automation efforts, we leveraged our Sutherland RAPID model to re-evaluate our client’s use cases by replacing their existing RPA solution software with our end-to-end hyperautomation platform Robility. We used our Sutherland Robility platform to connect disparate systems across the business and deliver a more efficient workflow for our client. We created a one-window solution for all Claims First Notice of Loss (FNOL).

We utilized Robility's native OCR, RPA, workflow, AI/ML and digital command center components to increase speed-to-market and derive more value from use cases. The Robility hyperautomation platform centralized the user management solution across various applications. This allowed us to effectively manage user roles and application access management while dramatically increasing productivity and reducing overall cost of both licensing and operations.

Want to learn more about Sutherland’s E-Hub platform?

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