Loops check insurance claims, remind patients and ask for missing papers. Your team handles the unclear ones.
A claim is a request to an insurer to pay for care. The loop reads each claim and checks it against the rules of the patient's policy. If everything fits, it pays the claim. If anything is unclear, it passes the claim to your team. About 60% of claims are now paid the same day they arrive.
The same idea works for any job where people handle forms, visits or questions by hand. Here are three common ones.
Patients get a reminder the day before a visit. If someone misses one, the loop offers them a new time.
25%fewer empty appointment slots
Some care needs the insurer's OK before it happens. The loop finds missing papers and asks for them first, so fewer requests get sent back.
50%fewer requests sent back
See you Thursday at 9:15. Free parking is behind the building.
The loop answers simple questions about visit times, parking and bills. Any question about medical care goes to your staff.
40%fewer calls to the front desk
In the first month, you approve every claim yourself. As the loop proves it gets things right, you check fewer. In the end, you only see the claims it marks as a problem.
First month
You approve every claim
Second month
You check only the unusual ones
After that
You see only the problem ones
Pick a loop and the AiDOOS team builds it, runs it, and hands more of the work to the system as the results hold up.