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Transcript

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What Is The Future Of IVT?

Real Time Coverage Discovery

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IVT Salesforce Tickets

Tickets Closed Within 17 days (ticket age)

90%

9/13/2023 BDE Migrated to Salesforce

Total Tickets Created

1,077,965

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Insurance Verification Team

90%

Tickets Closed Within 40 days (DOS age)

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Ticket Closed Date By Product

Ticket Create Date By Product

All negative eligibility response are worked manually in attempt to identify active coverage.

Electronic Eligibility Results

  • 90% cases successfully verified through automation
  • Sunset SGH from BDE processes
  • Decreased need for manual intervention
  • Decreased timely file denials (PA and Claims)
  • Refocus staffing to other areas of need

Ticket Queue Breakdown

Ticket Closed By

BDE to IDE Transition

  • Remove SGH from the BDE process
  • Move insurance eligibility verification earlier in the process
  • Increase insurance coverage accuracy
  • Better identify IPA and affiliates
  • Allow for visabililty into BDE process
  • Allow for increased accountability
  • Automation to decrease manual intervention