Accelerating Retrieval to Meet Audit Deadlines

Solution:
Reveleer’s AI-Powered Retrieval Solution

While working with more than a 100K providers and practitioners in a state with low Electronic Health Record (EHR) participation, the Blues Plan received medical records by mail, email, and fax. Records had to be reviewed page by page and required four contingent workers more than 2,250 hours to review, in addition to another 250 hours spent manually editing more than 1,500 provider packets. Data was upload into outdated SQL databases across multiple batches, with some files having to be manually "reassembled" in order. Finally, reconciliation was tallied via spreadsheets and took more than 120 hours to complete.

Reveleer's AI-powered Retrieval solution accelerated the health plan's retrieval efforts, by automating tasks like records processing, outreach and chart reviews, significantly reducing manual efforts. The platform's Provider Gateway facilitated seamless data exchange, empowering providers to upload charts effortlessly.