High-Cost Medical Account Management

Problem

Our medical client faced significant difficulties effectively tracking their medical service orders, which required a detailed process: authorization, management with the provider, confirmation of completion, and recording of reasons for non-use. This process was managed manually in Excel spreadsheets, which proved insufficient given the high volume of requests. Many orders were lost along the way, statuses were not updated, and when generating reports or balance sheets, the data was frequently incorrect or incomplete, impacting decision-making and contract management.

Solution

We developed a comprehensive web-based contract and service order management platform, designed specifically for the clinic's needs. The system allows each service order to be clearly recorded, classified, and tracked in real time, easily identifying which are pending, authorized, managed, or canceled. It also keeps detailed records of reasons for non-use and automates notifications to the provider and the clinic when an order is ready. The platform also generates accurate and up-to-date reports on the status of each order, facilitating operational and financial analysis.

Benefits obtained

Complete, real-time visibility into the status of each service order.
Elimination of errors and duplicates by replacing the process in Excel.
Precise control of reasons for non-use, improving resource and contract management.
Automation of notifications to providers and internal departments, reducing management times.
Generation of reliable and customized reports for follow-up and decision-making.
Improved operational efficiency and compliance with clinical and administrative processes.
Scalability to handle high volumes of orders without affecting the quality of follow-up.

​High-Cost Medical Account Management

Problem

Solution​​

​Benefits obtained

High-Cost Medical Account Management

Solution

Benefits obtained