Hospital — Revenue Cycle
Revenue Cycle — TPA & Ayushman (Pilot)
TPA claim lifecycle 18-28 days with manual portal follow-up and packet errors.
Follow-up 22d→9d, denial rate -28%, packet completeness 71%→96%.
Challenge
Portal logins manual, document packets inconsistent, no denial prediction.
Solution
TPA RPA + OCR, claim tracker, packet validator, denial predictor + corporate tie-up pipeline.
Result
Follow-up 22d→9d, denial rate -28%, packet completeness 71%→96%.