David Seidman
by
David Seidman

Exela Digital Mailroom improved turnaround time and reduced costs

CHALLENGE

Medicaid and the Children’s Health Insurance Program (CHIP) provide medical coverage for more than four million low-income Texans. The system required processing thousands of documents a day. But Texas’s processing vendor had breached its contract.

The state government terminated the contract and needed a replacement vendor. The state asked Exela to process all claims, checks, prior authorizations, and provider correspondence.

Exela had to do a live cutover and process 35,000 transactions on day one while meeting eight-hour turnaround times on some transactions. There was no time for ramp-up or a learning curve. Facilities, staff, and systems had to be fully in place, tested, and ready for go-live to maintain stringent service levels.

SOLUTION

Exela put a solution in place that used our Digital Mailroom (DMR) platform. Using careful planning and our proven implementation methodology, we tested DMR’s processing capacity and accuracy by running the system through a duplicate training set.

The successful test ensured a seamless cutover of work. With a functioning, vetted, pre-live capacity model, Exela went live on day one, processing 100% of volume. In the following year, Exela service levels continued to trend positive, resulting in improved turnaround time and a significant cost reduction for the state.

BENEFITS

  • Reduced cost
  • Improved turnaround time
  • 100% compliance for image quality
  • 100% compliance for indexing quality

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