The largest pharmacy chain in the United States by number of locations engaged Quantilus to streamline their claims processing. The chain was struggling with the increasing amount of data its claims processing system generated. With a large volume of claims every day, the pharmacy chain’s existing data pipeline struggled to keep up with the demand. The system required manual intervention, and it was not scalable to handle the growing volume of data.
The pharmacy chain was facing the following challenges with its existing claims processing data pipeline:
The pharmacy chain partnered with our team of experts in ML and Big Data to design and implement a claims processing data pipeline orchestration system. The new system automated the entire claims processing workflow, from data ingestion to data cleaning, transformation, and loading. The system also included an AI-powered claims validation module, which automatically detected errors and anomalies in the claims data, reducing the need for manual intervention.
The key features of the new system included:
The new claims processing data pipeline orchestration system provided the following benefits to the pharmacy chain:
The new claims processing data pipeline orchestration system helped the pharmacy chain to streamline its claims processing workflow, reduce errors, and gain valuable insights from its data.