Healthcare Use Cases

Enhanced operational efficiencies, customer service, vendor management and support for digital business models.

SmartStream works with leading companies to implement its AI-enabled solutions to support data-driven organisations. Automation for the right tasks and process is essential to scaling automation programmes – whether it’s to centralise and automate billing, claims processing, supplier management, research costs, or to adapt a platform to handle both financial and non-financial data. SmartStream works with leading companies to implement its AI-enabled solutions to support data-driven organisations.

Automation for the right tasks and process is essential to scaling automation programmes – whether it’s to centralise and automate billing, inter-system reconciliations, establish a proactive exceptions-based process, or to adapt a platform to handle both financial and non-financial data. 

Reduce costs and operational risk while helping promote better customer service.

How we

help our customers

Data Transformation Services

Regulatory Alignment

Managed Services and
Cloud Environments

AI and Machine Learning

Operational Control and Automation

Real Time Reporting

Air Data

Reconciliation management and data accuracy

Billing Reconciliation
Auto-match patient bills and payments to reduce errors
Insurance Claims
Match claims to bills/payments to verify reimbursement and resolve discrepencies
Claims Adjudication
Reconcile submitted claims with results for accurate payments and adjustments
Denial Management
Auto-match denied claims to identify causes and resubmit
Invoice Matching
Match vendor invoices with POs and receipts to ensure valid payments
Payment Processing
Reconcile supplier payments with invoices for accuracy
Bank Reconciliation
Match bank statements with internal records to find discrepancies in cash transactions
General Ledger Reconciliation
Align ledger accounts with financial records for reporting and compliance
Compliance Reporting
Reconcile records for compliance with healthcare regulations, such as HIPAA and the ACA
Audit Trails
Auto-match audit trails with records to ensure accurate and transparent reporting
Account Balances
Match patient balances with payments and adjustments for accuracy
Financial Aid
Matching financial aid and charity care records with accounts to apply assistance correctly
Grant Reconciliation
Reconciliation of research grants and funding with expenditures for accurate reporting
Cost Allocation
Match research costs with funding to manage allocation and financial management
Medical Supplies
Auto-reconcile supply records to manage stock counts
Data Accuracy
Align financial data with EHR systems for accurate billing of patient services
Payer Contracts
Auto-match contracts with payments to confirm correct terms and rates
Reimbursement Verification
Match reimbursements to billed amounts to identify any discrepancies
Operational Costs
Reconcile expenses with records to control spending
Capital Expenditures
Match capital expenditure with budgets for better financial oversight
Budget Reconciliation
Compare forecasts to actuals for better planning and control
Performance Metrics
Match metrics with finances to assess operational strategy and results

Discover how we can transform your operations today

Book a demo
Connect

©2024 SmartStream Technologies ltd. All Rights Reserved.

Twitter Linkedin-in Youtube Microphone