Client Result

From delays to action: 90% improvement with automation

Reducing operational strain with a smarter way to process claims and prior authorizations

healthcare worker using tablet

Immediate impact through automation

A leading Midwest health plan struggled with growing inefficiencies during its move to a new medical management platform. Manual claims authorizations caused delays, resource strain, and payment backlogs. Seeking a solution, they turned to West Monroe. Together, we identified the root causes and designed automation solutions that transformed their claims process. In just three months, we cleared 90% of the claims backlog, cut authorization errors by 60%, and saved $500,000 annually. Today, they have a scalable, efficient process to meet future challenges.

  • Cost Reduction.svg
    $500,000+

    annual cost reduction through process automation

  • Realize Faster Results_.svg
    90%

    reduction in claims backlog over three months, driving faster results

  • Organization Efficiency_.svg
    60%

    fewer authorization load errors per week, creating new efficiencies

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