โข <1 Minute Eligibility Checks
โข 70โ80% Fewer Insurance-Related Denials
โข 1โ1.5 Hours Saved Daily per Staff Member
Overview
A regional ambulatory network saw rising insurance-related denials due to outdated or inaccurate patient coverage information. Manual eligibility checks required multiple payer-portal logins, slowing registration and triggering downstream rework. GeBBS implemented an RPA-enabled Eligibility & Verification Automation solution that accelerated coverage checks, improved accuracy, and strengthened front-end financial clearance.
Opportunities & Challenges
The manual verification process caused:
โข 5โ10 minutes per patient spent on eligibility lookups
โข Frequent denials tied to inactive plans or benefit changes
โข Long patient wait times at check-in
โข Inconsistent documentation across sites
โข High administrative burden on front-desk teams
Solution
Automated Eligibility Verification & Coverage Documentation
GeBBS deployed RPA bots to:
โข Run automated eligibility checks through payer portals and APIs
โข Update active coverage details and benefits directly in the EHR
โข Flag mismatches requiring staff review (inactive plans, PCP changes, deductibles)
โข Document verification results instantly to support financial clearance
Outcomes
โข Eligibility Time: Reduced from 5โ10 minutes to <1 minute
โข Denials: 70โ80% reduction in insurance-related denials
โข Registration Speed: Up to 5 minutes saved per patient
โข Staff Efficiency: 1โ1.5 hours saved daily per registrar
โข Accuracy: Standardized coverage data across all clinics
Key Takeaways
โข Automated eligibility checks prevent denials at the source.
โข Faster verification improves patient experience and throughput.
โข RPA eliminates repetitive portal work and standardizes processes.
Conclusion
With eligibility automation, GeBBS improved front-end accuracy, reduced preventable denials, and enhanced patient accessโsupporting smoother operations and stronger revenue performance.
Client Testimonial
โWeโve cut verification time to seconds. Our denial rates dropped dramatically, and registration finally keeps up with patient demand.โ
โ Manager, Patient Registration
