Transform Your Operations with WNS' End-to-end Medical Bill Review Services

How We Do It

• The right combination of platforms, people and process
• Plug-and-play operating model gets you off the ground faster
• Hyperautomation-led efficiency passed on to your MBR operations
• Best-in-class processing accuracy
• Driving insights locked in transactions to enhance experience and outdo the competition
• Deploying the most comprehensive MBR framework – “R.A.D.A.R.”

• Up to 45% lower Total Cost of Operations (TCO)
• 99.5% bill accuracy in field-level data
• 99.5% coding accuracy
• 30% higher Net Promoter Score (NPS)
• <48-hour Turnaround Time (TAT)

Guaranteed accuracy, cost-efficiency and an unmatched commercial proposition mark WNS’ MBR services. We leverage best-in-class technology and in-house domain talent to deliver lean MBR operations with superior outcomes.

Re-invent processes. Accelerate Automation. Domain-led. Analytics-driven. Re-imagined experience.

Drives best-in-class MBR services across front-end activities (mailroom operations, data capture), bill and code review, and medical management (clinical review) areas – underpinned by highly trained quality professionals, technology solutions and process re-engineering for delivery excellence.

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Client: Leading US workers’ compensation service provider

Challenges: Reconciliation of images received prior to processing, high-volume processing on certain days, high processing cost for regulatory requirements

Solutions: OCR tool along with key field validation, an online reporting system for bills processed and a real-time view of work progress to the client, and a flexible staffing model to manage fluctuating volumes

Outcomes: 32% improvement in operational efficiency, 50% volatile volumes handled, claims TAT reduced from 3 days to 1 day

Client: US-based platform provider for medical liability claims for auto casualty

Challenges: Multiple end-clients with unique processing guidelines, severe financial penalties associated with provider claims for incomplete and inaccurate processing and poor financial accuracy

Solution: Seamless transition of 30+ end clients through EnABLE, a WNS in-house transition methodology, a digital workflow solution to standardize and shorten the onboarding time for new clients, an audit to improve financial accuracy and AI / ML tools as aids for nurse reviews

Outcomes: 35% operational efficiencies and 99.75% financial accuracy