CLAIMS PROCESSINGEasier Than Pulling TeethAn insurer discovered how to reduce operating costs and improve auto adjudication dramatically while staying aligned with Microsoft systems.
Reducing operating costs is every insurers dream, but it doesnt come without a price. Delta Dental of Missouri (DDM) found it was a lengthy and difficult process to convert to a new dental-only claims system, but the numbers have told the real story of this successful implementation: Auto adjudication for the insurer has jumped from 12 percent to 80 percent; claims volume has risen 25 percent while staffing levels have fallen by 30 percent; and most important of all, operating costs have dropped by nine percent.
There was a lot of digging in heels during the implementation process, according to DDM CIO Karl A. Mudra. [Users] love us for it now, but there was a lot of resistancean extreme amount of resistance. They actually had a punching bag in the customer service department that had my face on it. I can laugh about it now. After we were done with the conversion and everything was going well, they gave it to me.
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