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Denials & Appeals Automation (Back End)

Case Study - 04_banner

โ€ข <2 Hours Appeals
โ€ข 98% Data Accuracy
โ€ข 70+ Hours Saved

Overview

A health system struggled with slow, error-prone denial and appeal processing driven by manual data handling and fragmented tracking. These inefficiencies delayed recovery and increased compliance risk. GeBBS implemented an RPA-driven Denials & Appeals Automation solution to accelerate turnaround and improve accuracy.

Opportunities & Challenges

The organizationโ€™s manual appeal workflows resulted in:
โ€ข 24โ€“48 hours spent per appeal
โ€ข 12% data error rate
โ€ข Manual tracking gaps and rework
โ€ข Formatting and submission inconsistencies
โ€ข High staff effort across appeals processing

Solution

Automated Denial Validation & Appeal Submission
GeBBS deployed RPA automation to:
โ€ข Identify denial reasons and required documentation
โ€ข Validate appeal data and supporting records
โ€ข Prepare and submit appeals automatically
โ€ข Track appeal status with complete audit logs

Outcomes

โ€ข Processing Time: Reduced to under 2 hours
โ€ข Accuracy: Improved to over 98%
โ€ข Labor Savings: 70+ staff hours saved weekly
โ€ข Traceability: 100% job number capture
โ€ข Recovery: Faster and more consistent appeal outcomes

Key Takeaways

โ€ข Faster appeals improve revenue recovery.
โ€ข Automation reduces compliance and audit risk.
โ€ข End-to-end tracking strengthens governance.

Conclusion

GeBBSโ€™ Denials & Appeals Automation significantly accelerated recovery timelines while improving accuracy, traceability, and compliance across back-end workflows.

Client Testimonial

โ€œOur appeals process is now fast, accurate, and fully traceable. What once took days now takes hours.โ€
โ€” Revenue Integrity Manager

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