Outcompeting Medical Suppliers
“The Manifold team was second to none in their ability to dissect the root cause of denied claims as well as their ability to turn that information into implemented action that benefited our company meaningfully.”
- Chief Operating Officer, Centrad
“It would have taken me a year to put together the work you’ve done in 2 months”
SVP, Chief Clinical Officer
The Challenge
Ten percent of submitted claims by a nationwide medical supplies distributor to skilled nursing facilities were denied due to data entry errors. As a result, the company’s cash flow was compromised since the claims’ appeal process took four times as long to receive payment. In addition, “bad debt” increased with denied claims, introducing a heightened risk of the claim turning into a write-off. Finally, since the full team was engaged in managing the denied claims, the distributor’s operating expenses skyrocketed.
The Solution
“It would have taken me a year to put together the work you’ve done in 2 months”
SVP, Chief Clinical Officer
The distributor knew that the time was right to address their claims process given upcoming regulation, margin pressure, and consolidation in the industry. Manifold’s engineering capabilities, expertise, and problem-solving mindset made the distributor’s choice easy.
Manifold started with a customer-focused and data-driven root cause analysis, prioritizing and systematically addressing recurring problems that drove denied claims. The three-month analysis engagement:
- Mapped processes and conducted a gap analysis
- Mapped current state and designed target state for claims processing workflows
- Mapped out the customer journey for current and target state
With an eye to ensuring strong ROI, Manifold also estimated the cost savings resulting from the reduction in staff expenditure and amount of non-conforming claims.On the technology side, Manifold’s flexible engineering team quickly:
- Designed, built, and implemented analytics-based workflows to automate processes
- Built a multidimensional data mart for time-series analysis
- Built a high-performing rules engine to automate decisions
- Developed a minimum viable product (MVP)
- Developed a product roadmap to identify and prioritize product improvements
- Created parallel data processing workflow to optimize batch throughput
- Built Excel workbooks with live pivot tables for executive reporting
Ready to find a path to unblocking transformation?
Ready to find a path to unblocking transformation? Let’s explore how we can align your technology, streamline processes, and accelerate your journey toward meaningful impact.
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+1 872-240-1244
+1 872-240-1244