Presentation
Monique Rathbun
Created on January 27, 2024
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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