Use Case

Claim File Reviews – Departmental Level

Automate your Quality Assurance (QA) requirements at the department level within minutes using STREAMLINE to conserve resources, eliminate human error and ensure your business is compliant at all times.


The Challenge

There is always a risk when auditing claim files that results could be inaccurate or favored in one direction or another. This results in an upstream approval auditing process that consumes more resources and costs more dollars.

The Solution

Using a set of prewritten business rules specific to your business, STREAMLINE can examine claim files to ensure they are compliant with your business and DOI regulations. This ensures an unbiased result within minutes saving endless hours and improving efficiency within the core of your business.

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