Automation through natural language processing
Helping our client grow and scale operations by delivering quality gains, improvements in accuracy and efficiency, and significant reductions in turn around time.
Client profile
A leading regional health plan.
Client need
The client had to manually review and process over 2 million extensive documents. This had a significant impact on access, productivity, efficiency, accuracy and led to an increase in staff expenditures. They found it challenging to deliver timely access to care for its millions of members and were unable to grow and scale operations.
Objectives
- Identify drivers preventing optimized flow
- Reduce the manual processing of documents, and improve productivity and accuracy
- Help the client scale operations without having to increase staff capacity
The NLP solution was able to process more than 10,000 daily unstructured, multipage authorization requests and could extract up to 35 fields per document, which was previously done by 300 full time employees.
The solution
EXL Health developed a Natural Language Processing (NLP) solution to read and extract complex data elements from source documents and validate output against data tables in our care management platform.
The EXL Health team also conducted a RAPID BluePRINT assessment and proof of concept (POC) with more than 40,000 documents to validate delivery of client quality and speed targets.
The NLP solution was able to process more than 10,000 daily unstructured, multipage authorization requests and could extract up to 35 fields per document, which was previously done by 300 full time employees.
Key features
- Full-scale NLP Solution with application management.
- Real-time monitoring, problem detection, root cause analysis and remediation, quality assurance, online query functionality, and configurable operational reporting.
Outcomes
By leveraging EXL Health’s NLP solution, this client digitally transformed the way their data was processed and reviewed. This resulted in:
