Prime Use Instances & Examples of Healthcare Clever Automation



The usage of synthetic intelligence (AI) and automation applied sciences similar to RPA is reworking the healthcare trade by decreasing the reliance on repetitive and handbook duties that stop healthcare staff from specializing in higher-value actions. In accordance with McKinsey, 33% of healthcare suppliers’ duties are prone to be automated, which may cut back prices and enhance healthcare affordability.

Clever automation, additionally referred to as cognitive automation or hyperautomation, which is the mixed use of automation applied sciences with AI strategies similar to:

can allow end-to-end course of automation by way of clever bots with decision-making capabilities. On this analysis, we’ll discover a number of clever automation use instances within the healthcare trade.

Use instances

Customer support and scheduling

AI-powered chatbots built-in with RPA bots can deal with repetitive customer support duties and allow self-service affected person scheduling by:

  • interacting with sufferers about their well being issues, 
  • extracting info from different programs about appropriate physicians and time slots,
  • sending reminders,
  • permitting rescheduling and canceling appointments.

This will enable healthcare suppliers to:

  • Enhance worker productiveness by releasing them from mundane customer support duties and aiding them with advanced duties.
  • Cut back no-shows by way of reminders and follow-ups.
  • Enhance affected person expertise with well timed and seven/24 customer support.

Regulatory compliance

Healthcare organizations should adjust to quite a few laws, together with HIPAA, which protects sufferers’ medical info. Failure to adjust to HIPAA outcomes in penalties starting from $100 to $100,000 per violation.

Sensible bots can allow healthcare suppliers to routinely log each motion, monitor and doc the exercise log, improve transparency, and guarantee compliance. As well as, clever bots can predict potential fraud and forestall meant or unintended knowledge breaches.

Medical insurance processing

AI-enabled RPA bots can automate duties similar to:

  • Prior authorization (preauthorization): This can be a time-consuming course of by which healthcare suppliers receive approval from well being insurers to find out whether or not a healthcare service or a medicine is critical and cost-effective for the affected person. Clever bots can test whether or not prior authorization is required and make the mandatory updates to the digital well being report (EHR).
  • Claims processing: Sensible bots can considerably enhance processing medical health insurance claims by:
    • automating labor-intensive duties
    • decreasing human errors
    • extracting needed knowledge with NLP fashions
    • detecting healthcare fraud extra precisely with ML fashions
    • bettering buyer satisfaction with chatbots

Be at liberty to test our article on how AI modifications medical health insurance.

Healthcare analytics

AI-enabled bots can run analytical fashions for the processes they’re deployed on. This will help healthcare suppliers conduct well being and operational analytics to enhance numerous processes similar to:

  • Fraud prevention
  • Information safety
  • Remedy planning
  • Predicting drug outcomes

You possibly can test our article on healthcare analytics for extra examples.

Case research


Downside: ApprioHealth gives know-how options for healthcare suppliers that facilitate medical health insurance claims processing to expedite and maximize reimbursements for his or her prospects. The corporate started utilizing RPA ten years in the past to automate Medicaid purposes and insurance coverage reimbursement processes. Nevertheless, numerous and ever-changing interfaces of various programs which are a part of immediately’s healthcare infrastructure nonetheless require a substantial amount of human effort.

Answer: The corporate carried out an clever automation answer that leverages RPA and pc imaginative and prescient. This pc vision-based answer helped ApprioHealth create an automation system that may seize and course of knowledge from totally different programs no matter their interfaces.

Outcomes: ApprioHealth makes use of 4 software program robots that may course of seven instances the variety of claims beforehand dealt with by 4 staff.1

AMN Healthcare

Downside: AMN Healthcare gives healthcare staffing and recruitment course of outsourcing options to healthcare suppliers within the US by inserting freelance medical workers for open healthcare positions. The corporate receives timecards for hours accomplished, pays the medical workers for his or her labor, and payments the hospital. Processing timecards was susceptible to errors and round 200 timecards went misplaced annually, posing a authorized danger to the corporate.

Answer: The corporate created a cell app and adopted an clever automation answer that enables nurses to {photograph} their timecards and add them to the corporate’s system. The clever automation device processes the timecard images, determines what kind of labor is being billed, and routes it to the suitable group for processing.

Outcomes: The corporate decreased the time spent on processing timecards by as much as 68% and decreased variety of hours requiring human intervention throughout processing from 8000 to 2600.2

For extra on clever automation

If you wish to discover clever automation use instances in your enterprise, be at liberty to test our data-driven checklist of clever automation options. Should you want an professional opinion, we will help:

Allow us to discover the fitting vendor for your enterprise


1, 2