Automation And Its Impact On Claims Processing

Availity Access provides a glimpse into the people behind our products. It features commentary on challenges facing the healthcare industry and how Availity can help providers and health plans better share patient information. In this episode we discuss how automation has affected the claims submission and processing activities for payers and providers. Today, over 93 percent of claims are submitted electronically, which has reduced, but not eliminated, dirty claims.

When it comes to healthcare EDI, the three key developments have been the increase in electronic claims submission, data standardization, and the adoption of technology solutions by payers and providers. Clay Roberston, Business Solutions Expert at Availity, joins today’s discussion, and talks about why these issues are significant and what else needs to be done to improve the integration, automation, and communication between payers and providers.