top of page
Project & Operations Management
Featured Work
PCP Attribution Operations
Problem: HMO plans require all patients to be assigned a primary care provider (PCP), yet there is no infrastructure in place to ensure that patients are aware of their assigned PCP or understand the referral process. This leads to confusion, delays in care, and potential negative impacts on patient outcomes.
ERA management
Problem: Approximately 30% of provider calls to the provider support team are related to Electronic Remittance Advice (ERA) issues, such as regeneration requests and status tracking, resulting in over $200K in low-value call and support costs.
bottom of page