- Meeting compliance requirements under the newly passed Federal No Surprise Act came with several hurdles. The healthcare business faced tight timelines, undefined workflows, and no existing automation framework. Key challenges included:
- Regulatory Deadlines: Only four months to design and implement a compliant system.
- High-Volume Processing: 50,000+ weekly claims without clear workflows or automation.
- Scalability Issues: No framework to expand or customize processing across varied scenarios.
- Transparency Gaps: Limited stakeholder alignment and lack of visibility into workflows.
To meet these challenges, Cynoteck designed and deployed a scalable, automation-first framework with built-in compliance and efficiency.
Stakeholder Alignment – Validated business requirements and finalized strategy with active collaboration.
Milestone-Driven Delivery – Clear execution checkpoints ensured progress and accountability.
Configurable Automation – Rules-driven workflows built for scalability and flexibility.
Document Automation – Leveraged S-Docs for real-time generation of claims documentation.
High-Volume Capacity – Framework designed to seamlessly process hundreds of thousands of claims per month.
1. Operational Efficiency
Saved 8–10 FTE hours weekly by automating claims processing.
2. Compliance & Scalability
Enabled timely compliance with the Federal No Surprise Act while supporting dynamic growth in processing needs.
3. Performance at Scale
Processed over 500K claims in the first month without failure.
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