Challenges
The Attending Physician’s statement (APS) is a core underwriting asset. APS medical record review demands a major share of the underwriter’s time. One of the leading
BGAs in the US, sought to reduce medical records review time as well as improve the time for the Risk Appraisal process. Their goal was to have these intricate processes completed without compromising on Quality, Consistency, and Turnaround time. The BGA wanted to develop a workflow solution and also
outsource the medical record summary service to a single service provider who could handle an end to end migration. This involved the provider understanding the process, then developing a robust process flow and standard training tool for knowledge transfer. The challenges they had hitherto encountered in the Migration Process were:
- Addressing all HIPAA regulations stringently to ensure confidentiality and security of health information
- Time and Resource Challenges in Recruitment and Training of employees on the Migrating process
- Standardizing the procedures involved in Summarization & Risk assessment
- Formulating Standardized procedures to procure accurate statuses from facilities