• <2 Hours Appeals
• 98% Data Accuracy
• 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 organization’s manual appeal workflows resulted in:
• 24–48 hours spent per appeal
• 12% data error rate
• Manual tracking gaps and rework
• Formatting and submission inconsistencies
• High staff effort across appeals processing
Solution
Automated Denial Validation & Appeal Submission
GeBBS deployed RPA automation to:
• Identify denial reasons and required documentation
• Validate appeal data and supporting records
• Prepare and submit appeals automatically
• Track appeal status with complete audit logs
Outcomes
• Processing Time: Reduced to under 2 hours
• Accuracy: Improved to over 98%
• Labor Savings: 70+ staff hours saved weekly
• Traceability: 100% job number capture
• Recovery: Faster and more consistent appeal outcomes
Key Takeaways
• Faster appeals improve revenue recovery.
• Automation reduces compliance and audit risk.
• End-to-end tracking strengthens governance.
Conclusion
GeBBS’ Denials & Appeals Automation significantly accelerated recovery timelines while improving accuracy, traceability, and compliance across back-end workflows.
Client Testimonial
“Our appeals process is now fast, accurate, and fully traceable. What once took days now takes hours.”
— Revenue Integrity Manager
