Case Study

A US-based Health Plan Transforms Operations with Newgen's Provider Ecosystem Solution

Background

The client is a leading health plan in the United States, having business in multiple states and product lines. They handle a large volume of new provider onboarding and maintenance transactions. They were looking for a solution to streamline their end-to-end processes and enhance operational efficiency.

Key Challenges Faced by the Health Plan

  • Limited access to accurate, critical data
  • High turnaround time of provider onboarding
  • Low visibility into end-to-end processes
  • Manual hand-offs, leading to errors
  • Dependency on legacy systems

Streamlining Provider Onboarding with Newgen’s Solution

Using Newgen’s provider ecosystem solution, the health plan overcame the existing challenges, gained visibility into vital provider data, and achieved competitive differentiation by establishing a highly efficient provider onboarding and maintenance system.

Key Benefits Unlocked

  • 6-month return on investment
  • 84% reduction in onboarding TAT
  • 90% reduction in task labor
  • 98% improvement in claims quality impact
  • 1.5 increase in STAR rating
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