Presentation

Insurance Verification Team

1,077,965

90%

90%

9/13/2023 BDE Migrated to Salesforce

Tickets Closed Within 17 days (ticket age)

Tickets Closed Within 40 days (DOS age)

Total Tickets Created

Real Time Coverage Discovery

IVT Salesforce Tickets

What Is The Future Of IVT?

Ticket Closed Date By Product

Ticket Create Date By Product

Electronic Eligibility Results

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

• 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