Medical Device Claims
Country: United States
Number of Employees: 500+
Products and Services Used:
Azure SQL Database, Azure Logic Apps, Azure Functions, Power Automate, SharePoint Online, Document Intelligence, Azure API Management, EDI Integration
Challenge:
The medical device company faced significant operational inefficiencies in managing claims for devices sent to healthcare providers. Each consignment required precise tracking of usage, patient confirmation, and proper documentation collection. The manual processes involved in scanning claim forms, aggregating data, verifying compliance, and submitting to payers via EDI clearinghouses were error-prone and time-consuming. As volumes grew, delays increased in claims processing, revenue recognition, and payer collections, impacting cash flow.
Solution:
Think AI implemented a robust, automated claims processing solution using Microsoft Azure. Device usage was tracked via integration with providers, and once a device was confirmed used by a patient, claim packets were generated automatically. Azure Form Recognizer and Power Automate were used to extract key details from scanned documents. SharePoint Online provided centralized storage and secure access. Data from forms were validated and processed using Logic Apps and Azure Functions. Final EDI files were submitted to clearinghouses, with real-time monitoring and alerts for exceptions and rejections.
Impact:
• 60% reduction in claims processing time
• 40% faster revenue collection cycle from payers
• Centralized audit-ready document repository for compliance
• Improved scalability and system reliability during claim volume spikes
• End-to-end process transparency for finance and operations teams