Case Studies
Transforming Insurance Eligibility
Our Tech Partnership Success Story
In partnership with a leading insurance provider, DataQuartz automated the eligibility verification process using smart data workflows and real time validation. This transformation reduced approval time, minimized errors, and delivered a faster, more reliable user experience across the platform.
88% Faster
Zero Errors
Happier Patients
The Challenge
Manual Data Copying
Staff manually copied insurance details from Availity and eClinical systems, increasing error rates and workload.
Time-Consuming Tasks
Repetitive manual tasks cost hours daily, reducing staff productivity and increasing operational costs.
No Centralized View
Lack of unified platform for real time coverage and eligibility updates across multiple systems.
Error-Prone Process
Outdated insurance information led to claim denials, processing delays, and patient frustration.
Our Solution
Automated Eligibility Checker
- We built an automated system that validates insurance details with smart rules, integrating real-time data from both platforms.
Smart Rules Engine
- Validates insurance details with intelligent rules, eliminating manual lookups.
Real-Time Integration
- Pulls accurate, up-to-date information from both Availity and eClinical platforms.
Error Elimination
- Automated everything from login to coverage capture, reducing human error.
Technologies Used
Measurable Impact & Results
88% Faster Processing
Slashed eligibility checking time to under 40 minutes
Near Perfect Accuracy
Eliminated manual entry errors, significantly reducing claim denials.
Lower Staffing Load
Freed up several hours of staff time daily for higher-priority tasks.
Faster Revenue Cycle
Clean, first pass claims with fewer rejections mean quicker payments.
Scalable Operations
Seamlessly handles peak volumes with zero slowdowns.