The Royal Children’s Hospital partners with Protiviti to enhance its private health insurance claim process
The private health insurance claim process at the RCH has historically been a very manual and time consuming activity with staff processing an average of 1,500 invoices monthly.
In order to improve cashflow and the efficiency of the claims process, the RCH engaged Protiviti to develop and implement an automated solution for the health insurance funds claims process.
With the help of Protiviti’s methodological approach, the RCH completed this project with several advantages. First, their existing ways of claims processing was automated to provide long term operational efficiencies and cost savings by automating a total of 265 business rules which led the RCH to save 115+ manual hours per month. There was also a considerable reduction of rejected claims (9%). Secondly, implementation of the bot reduced processing time from 5 minutes to 1 minute all whilst being available 24*7 and maintaining a robust and error-free process.
As demonstrated by this health service, RPA can be deployed to drive innovation, boost operational efficiency and enable staff to focus on more complex activities. In this scenario, it was claims processing that proved to be a suitable candidate for automation due to its manual, and repetitive nature.
The key to success is to follow a deliberate and disciplined approach with an innovative mindset and the right partner.
Contact one of our RPA leaders below to learn how automation can benefit your business.
 With Australia’s health expenditure is growing at A$181 billion and 10.3 per cent of their Gross Domestic Product. Source: The University of Melbourne.