How does it work?
Process Mining gives users access to information about the lifecycle of all their claims by deriving events from ANSI standard files. Each claim is denoted as a "case" in the system, and each "event" is every step in the process that claim takes, such as initial billing, clearinghouse reconciliation, payer adjudication, and more.
The Process Diagram
The Process Diagram is a visual representation of all of the various paths in your claims processing. This diagram allows you to see the exact events of your claims, filtered by features such as payer, denial category, Location/NPI, procedure and diagnoses, and much more. Each pathway also shows the quantity of claims and amount of time taken for each step.