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Monique Rathbun
Created on January 27, 2024
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Tickets Closed Within 40 days (DOS age)
90%
Insurance Verification Team
1,077,965
Total Tickets Created
9/13/2023 BDE Migrated to Salesforce
90%
Tickets Closed Within 17 days (ticket age)
IVT Salesforce Tickets
Real Time Coverage Discovery
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
- 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