How a Large Multi-State Specialty Provider Automated Their Daily Orders and Referrals with Plenful

Introduction

Large Specialty Provider Utilizes AI to Eliminate Manual Data Entry for Complex Workflows

This multi-state specialty provider group has been in business for 25 years, offering affordable and accessible care with top-quality treatment and diagnostics for thousands of specialty patients, serving as a cornerstone of healthcare delivery in the region. With a focus on developing the best operational processes for its large and talented physician group, the specialty provider sought innovative solutions to enhance its document data entry processes, aiming to care for its patients and serve its network more efficiently

Challenge

Need to streamline its document data entry process to scale more efficiently and accurately

Managing data entry and document processing across multiple facilities posed a significant challenge for this provider group. Manual data entry processes were time-consuming, prone to errors, and difficult to scale, leading to increased wait times for patients to see a provider. The specialty provider needed a solution to significantly improve efficiency and standardize data entry processes to provide an exceptional patient experience.

Solution

Using Plenful to automate workflow data entry and data enrichment

Plenful collaborated with the Specialty Provider to implement an extensive AI document processing and reconciliation solution. This involved setting up multiple real-time document retrieval endpoints. Plenful's platform automated document identification, extractions, and crosswalk layering, including provider, insurance, diagnosis, and patient demographics data. As a result, the specialty provider's order entry team could focus on data processing flags, leading to a 95% reduction in manual entry and reconciliation work. Plenful also integrated with the specialty provider’s document fax endpoints, crosswalks, and patient CRM, consolidating data for real-time operational insights. This integration empowered the provider to make data-driven decisions and optimize operations efficiently

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“This was such a manual, clunky process before. The ability to triage and train the documents was key for us given the many random formats we get that often change.”‍

VP of Technology

Results

The implementation of Plenful's solution yielded significant improvements for the Large Specialty Provider:

1. Enhanced Efficiency: Plenful reduced manual work for order entry and data entry technician teams by 95% through automated document data entry and reconciliation processes, enabling staff to focus on strategic initiatives and patient care
2. Improved Business Logic: Plenful's automated capabilities ensured the Specialty Provider maintained all required data elements despite complex crosswalk and data validation requirements, resulting in positive impacts on patient care and operational outcomes
3. Data-driven Insights: Real-time dashboarding and analytics enable insights into high and low-volume referring practices, conversions, and the sources of data integrity issues. Unstructured documents and disparate data are transformed using Plenful’s AI and automation tools into a streamlined data source for strategic decision-making within the provider network.