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Elixir Case Study: Healthcare Payer Automation

posted by Elixir Technologies Corporation

on November 8, 2019

Challenges

This Medium-Sized U.S. Healthcare Payer’s biggest challenge was incorporating their plan information into Centers of Medicare and Medicaid Services (CMS) approved Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents.

Each year the payer had to create and manage hundreds of individual ANOC/EOC versions from scratch. The creation of these versions took so long that the payer could not implement a proper review process, resulting in CMS errata penalties, a poor customer experience and exposure to lawsuits.

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