What is our Claim Processing
With quick operating teams and a digital claims platform that can streamline the entire claim settlement process, Care Commerce offers a Claims as a Service (CaaS) solution to the aged care industry. Colakin Care will take the important information from the invoice that the provider gave, such as the names of the clients and the invoice number, turn it into a claim form, and send the claim form on behalf of the aged care providers to B2G (Aged Care Web Service).
Colakin Care will be notified after the payment has been distributed by the government to the providers. Through Colakin Care, providers can track the actual situation of the entire claim process. Depending on the aged care business, B2G (Aged Care Web Service) completes the claim by the end of the week or the month. New claims will be reported to the government.
Technology
Our robotic process automation (RPA) is capable of transforming the claims processing industry. RPA integrates seamlessly with all applications and systems, including legacy systems, at the presentation layer. It can scale up or down completely depending on the situation and has a 100% robotic precision.
It's the perfect solution to increase productivity, cut costs, and boost customer satisfaction. Intelligent claim process automation integrates the entire aged care industry by integrating key stakeholders and workflows involved in the claim settlement, claim management, and claim resolution process. It connects the bank, the recipient, the provider, and the supplier to a single, centralised platform for the handling of claims processes.
Use Case
Developed differently for various stakeholders, care commerce is a mobile application i.e. aged care people can book a service for them through the application. Once the service is provided to the aged care person by the supplier, Aged care supplier can upload their invoices for payment settlement and can also list the services on the care commerce application. Aged care suppliers have a variety of options for submitting invoices, including emailing them by Dropbox, email, or the system.
Once the invoices are uploaded, the care commerce platform helps aged care providers to fully automate the analysis and validation of invoices, claim resolution, and claim settlement processes. Through care commerce, providers can see the actual situation of the entire claim process. Aged care providers will be informed if their claim has been granted or refused by the government and will then be paid. If the claim is approved, after receiving the payment, care commerce will examine the payment account and distribute the funds to suppliers and providers in accordance with the policies established by the systems' providers. If the claim amount is less than the service amount, care commerce will automatically check the claim amount and ask the customer to pay the provider on their behalf. Aged care people have the ability to validate an invoice or reject specific invoices and services.
Value to the business
01
Boost process effectiveness by making decisions more quickly, which will boost effectiveness. Our technologies automate the consumption of content, such as document ingestion, optical character recognition, and signature verification tools. Thus, with the combination of these technologies, all procedures are completed in a matter of seconds.
02
Automation in claims processing lessens the impact of mistakes made by people. The mechanisms for tracking and monitoring are improved by this. The transparency of the claim procedure is increased with proper tracking. With the use of these findings, aged people's service providers can decide how to give them the best care possible.
03
This data is openly provided by the intelligent claims processing system. A flowchart is provided to clients so they can follow the claim procedure. Additionally, the dashboard provides them with up-to-the-minute information. This raises consumer awareness and involvement.
04
Measure claim processing timeframes and improve them up. Helps to have a clear tracking of how the claims are being done and makes the process very easier.
05
Enhanced internal and external communication as well as better claim control.
06
Automate and manage all touchpoints, including appointment scheduling, case openings, and assignment management.
07
Aged care providers will be informed if their claim has been granted or refused by the government and will then be paid.
Challenges of manual claim processing
01
Claims are delayed as a result of manual operations taking a lengthy time.
02
Customer experiences are disrupted when claims are manually processed with several touchpoints and vast quantities of data.
03
Manual claim process makes the tasks more repetitive and often.
04
Analysing and validating all the invoices manually does affect the working power of the employees, thus resulting in delayed work.
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