Transforming Claims Processing for Enhanced Efficiency

Fulcrum Digital partnered with the client to streamline their Claims Setup Workflow, improving P&C claims processing. Our experts handled the entire lifecycle, from verifying reimbursement requests to cross-checking claim data in the David & Young (DY) Application. Key steps included efficiently entering claim details such as amounts, claim numbers, CPT codes, provider names, and service dates, ensuring data completeness and accuracy. We managed document uploads and emails for streamlined documentation, assigned claims to auditors for validation, and implemented tracking through DY for enhanced transparency and efficiency. This optimization led to faster claims processing, improved data accuracy, and reduced costs, enabling the client to focus on strategic growth.