Case Study

Streamlining Provider Onboarding with Automated Credentialing & Recredentialing

A major healthcare tech company in the US helped payers boost their operational efficiency, process accuracy, and provider satisfaction with an automated solution that tackled inefficiencies in manual provider credentialing.

A leading US health-tech company built a solution for payers to automate provider credentialing and recredentialing processes, and enhance provider onboarding & operational efficiency.
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Industry & Region: Healthcare, US
Technology Stack:Frontend: React JS, Backend: .NET Core, User Authentication: AWS Cognito, Data Storage: PostgreSQL, Distributed Services and Communication: gRPC
Client Overview
Our client is a prominent healthcare technology company in the US, focused on building cutting-edge solutions that help healthcare providers and payers improve their operational efficiencies and enhance service delivery.
Business Challenge
The client had a lot of healthcare payers as their customers, whose provider credentialing workflows were plagued by inefficiencies and errors. Handling credentialing applications manually resulted in prolonged cycle times, leading to delays in provider onboarding and impacting overall operational efficiency. The risk of inaccuracies in submissions also posed compliance concerns and potential financial repercussions. To address these challenges of their customers, the client sought to build a solution to automate their provider credentialing and recredentialing processes to enhance efficiency, accuracy, and compliance.
Solution Offered
In response to the client’s requirements, our team of experts proposed a robust provider credentialing solution designed to automate and streamline the entire credentialing and recredentialing process. Our solution offered a seamless and intuitive platform to healthcare payers for managing provider credentials.
Key features of our solution included:
  • Automated Application Processing: Utilizing advanced algorithms and intelligent automation, our solution facilitated the automatic processing of credentialing applications, significantly reducing cycle times and eliminating manual errors.
  • Intuitive User Interface: With a user-centric design and intuitive interface, our solution ensured a smooth and efficient onboarding experience for healthcare providers, enhancing satisfaction and retention.
  • Comprehensive Credentialing Management: From initial application submission to ongoing recredentialing, our solution provided end-to-end management of provider credentials, ensuring compliance with regulatory requirements and accreditation standards.
  • Real-time Status Tracking: Through real-time status updates and notifications, our solution enabled stakeholders to track the progress of credentialing applications, facilitating transparency and accountability throughout the process.
Value Delivered
  • Reduced cycle times for provider credentialing/recredentialing by payors.
  • Enhanced accuracy of the entire process with automation.
  • Improved payer operational efficiencies, thereby enhancing provider onboarding and satisfaction.
  • Built a flexible, scalable, and future-ready application.
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Streamlining Provider Onboarding with Automated Credentialing & Recredentialing