How Wellness HMO Transformed its Claims Processes with Curacel’s Technology

Wellness HMO, a leading Healthcare Service Provider in Nigeria, providing clients with stress-free access to quality healthcare has partnered with Curacel to revolutionize its claims processes. This strategic alliance has resulted in a remarkable transition from cumbersome manual operations to a sophisticated, digitized system, yielding significant cost savings and operational efficiencies.

The Challenge

Wellness HMO was burdened by the inefficiencies of manual, paper-based claims processes that led to prolonged processing times, inaccurate data entries, and operational bottlenecks, affecting overall service quality and customer experience.

The Solution

With Curacel's intelligent claims automation engine, Wellness HMO has transformed its operational health claims enrollment and collection processes from manual to automated processes for swift, error-free, cost-effective claims collection and processing.

The Result

The collaboration resulted in nearly 100% digitization of Wellness HMO's claims processes, yielding improved efficiency, cost savings, and significantly enhanced satisfaction levels among healthcare providers and health insurance customers.

The Big Problem

Wellness HMO’s  journey before Curacel was marked by challenges inherent in manual processes and the complexity of manual claims collection resulted in prolonged processing times which not only strained the team but also led to errors and operational inefficiencies, impacting accuracy. The journey was a maze of paperwork and delays, leading to frustration for both the team and their Healthcare Providers. 

“We were way behind and had a lot of backlogs of claims to be processed due to the manual nature of the process. Tracking the status of claims was similar to searching for a needle in a haystack”, explains Wellness HMO’s Head of Provider Management, Pharm. Nwachukwu Destiny

Revolutionized Claims Process with Curacel

A digitized process was a necessity at this point and Curacel became a beacon in the face of the manual process challenges, offering Wellness HMO the claims automation solution. With Curacel, the need for data entry has been fully eliminated, as well as the attendant decrease in claims processing time and the elimination of errors. Tracking claims is now as simple as a few clicks. It’s not just efficiency; it’s a revolution.

The CEO of Wellness HMO, Pharm Adetutu Afolabi shares, “Our operations experienced an extraordinary surge in efficiency. What was once a convoluted claims collection process has evolved into a seamlessly streamlined workflow. This streamlined process led to a 30% reduction in operational costs associated with manual handling, and error corrections.”

The Rise to Operational Excellence with Curacel’s Innovative Solution 

In essence, the pre-digitization phase for Wellness was characterized by a lack of efficiency and accuracy in claims collection and enrollment processes. With this successful collaboration, Curacel’s solution has not only addressed the specific challenges in claims collection and enrollment but also provided a foundation for a more efficient operational framework, enhanced provider and patient satisfaction, and elevated Wellness’ fraud detection capabilities with the introduction of AI. 

Pharm Adetutu adds, “Our collaboration with Curacel has been a game-changer. From manual hurdles to a digitized ecosystem, we are now better equipped to deliver on our commitment to operational excellence and customer satisfaction”.

The partnership between Curacel and Wellness HMO highlights a shift from manual to digital claims processing and not only illuminates the potential of advanced technology but also underscores the pivotal role partnerships play in revolutionizing the healthcare experience.

Industry
Healthcare
Location
Lagos, Nigeria
Size
51-200

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How Wellness HMO Transformed its Claims Processes with Curacel’s Technology
Wellness HMO, a leading Healthcare Service Provider in Nigeria, providing clients with stress-free access to quality healthcare has partnered with Curacel to revolutionize its claims processes. This strategic alliance has resulted in a remarkable transition from cumbersome manual operations to a sophisticated, digitized system, yielding significant cost savings and operational efficiencies.
Company
Wellness HMO
Industry
Healthcare
Location
Lagos, Nigeria
Size
51-200
11-50
wellnesshmo

The Big Problem

Wellness HMO’s  journey before Curacel was marked by challenges inherent in manual processes and the complexity of manual claims collection resulted in prolonged processing times which not only strained the team but also led to errors and operational inefficiencies, impacting accuracy. The journey was a maze of paperwork and delays, leading to frustration for both the team and their Healthcare Providers. 

“We were way behind and had a lot of backlogs of claims to be processed due to the manual nature of the process. Tracking the status of claims was similar to searching for a needle in a haystack”, explains Wellness HMO’s Head of Provider Management, Pharm. Nwachukwu Destiny

Revolutionized Claims Process with Curacel

A digitized process was a necessity at this point and Curacel became a beacon in the face of the manual process challenges, offering Wellness HMO the claims automation solution. With Curacel, the need for data entry has been fully eliminated, as well as the attendant decrease in claims processing time and the elimination of errors. Tracking claims is now as simple as a few clicks. It’s not just efficiency; it’s a revolution.

The CEO of Wellness HMO, Pharm Adetutu Afolabi shares, “Our operations experienced an extraordinary surge in efficiency. What was once a convoluted claims collection process has evolved into a seamlessly streamlined workflow. This streamlined process led to a 30% reduction in operational costs associated with manual handling, and error corrections.”

The Rise to Operational Excellence with Curacel’s Innovative Solution 

In essence, the pre-digitization phase for Wellness was characterized by a lack of efficiency and accuracy in claims collection and enrollment processes. With this successful collaboration, Curacel’s solution has not only addressed the specific challenges in claims collection and enrollment but also provided a foundation for a more efficient operational framework, enhanced provider and patient satisfaction, and elevated Wellness’ fraud detection capabilities with the introduction of AI. 

Pharm Adetutu adds, “Our collaboration with Curacel has been a game-changer. From manual hurdles to a digitized ecosystem, we are now better equipped to deliver on our commitment to operational excellence and customer satisfaction”.

The partnership between Curacel and Wellness HMO highlights a shift from manual to digital claims processing and not only illuminates the potential of advanced technology but also underscores the pivotal role partnerships play in revolutionizing the healthcare experience.

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