Claims Efficiency: Saving Time and Effort

Contributing experts: Marla Wilson and Blake Main

At Elevance Health, we’re improving the claims experience to make it simpler and more efficient, allowing care providers to focus less on paperwork and more on delivering meaningful care. Through smart automation, accurate data, and strong partnerships, we’re making the claims process simpler, faster, and more reliable.
 

Why It Matters

Administrative complexity remains one of the top challenges care providers face today, and claims continue to be a prominent topic in our care provider experience surveys, generating both positive and negative feedback. We’re working to make the process faster, clearer, and easier for care providers and patients. Our efforts include:¹

• Automated workflows to reduce manual rework and errors.
• Digital solutions to reduce average claim processing time.
• A centralized care provider data warehouse that improves our ability to support care providers with accuracy, speed, and ease.
   

Innovating Data Management Systems 

Our care provider data warehouse helps improve accuracy, transparency, and timeliness of a range of interactions, including claims processing. By streamlining updates and enabling self-service, it enhances operational efficiency and simplifies care providers’ control over their own information — resulting in a smoother, more reliable experience.
 

A System Built for Working Together

When claims flow efficiently, everyone benefits. For care providers, fewer touchpoints mean time and money saved. For patients, timely and accurate claims enable faster benefit determinations and improved patient experience and access to care. Across the system, each efficiency gain allows care providers to reinvest time and resources into innovation and patient well-being. Following our investments in improving our systems, we've seen promising signs of time and effort saved:

More Time for Care

By reducing administrative complexity, we are freeing up the capacity for care providers to address patients’ whole health needs. Streamlined claims processing is not just an operational win, it facilitates better care by removing distractions from what matters most.