300+
USA
Company Name
Company Size
300+
Company Location
USA
"Restructuring Claim Processing with Nected: From Days to Minutesâ
Book a DemoCompany Size
300+
Company Location
USA
"Restructuring Claim Processing with Nected: From Days to Minutesâ
Book a DemoOperational Costs Decreased
Operational Costs Decreased
Automated Claim Conditions
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A medical billing and revenue cycle management (RCM) services company dedicated to optimizing billing processes for healthcare providers faced significant challenges in processing insurance claims efficiently. Their operations involved:
These challenges resulted in:
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The company partnered with Nected to transform its claim processing operations using Nected's low-code/no-code rule engine and workflow automation platform. This collaboration led to:
â Seamless Data Integration with PostgreSQL:
Within just 20 minutes, the team connected their PostgreSQL database to Nectedâs self-hosted solution, pulling in patient data, billing codes, and insurance details. This rapid integration ensured all claim-related informationâfrom ICD and CPT codes to coverage rulesâwas readily accessible for automated decision-making.
â Advanced Decision Tables and Workflow Automation:
By configuring over 600 rule conditions in Nectedâs Decision Table feature, the company encoded intricate clinical billing logic, payer-specific guidelines, and regulatory compliance checks with no coding required. Complex workflows were set up to automatically route claims for:
This eliminated the reliance on a large operational team and minimized human error.
â Real-Time and Scheduled Processing:
Nectedâs Workflow Automation enabled both immediate and periodic claim evaluations. Urgent claims received instant decisions, while scheduled batch runs ensured timely completion of routine reviews. This hybrid approach improved responsiveness and optimized resource usage.
â Enhanced Security and Compliance:
Deployed on a self-hosted infrastructure, Nected maintained full HIPAA compliance and safeguarded sensitive patient data. Robust audit trails, role-based access, and end-to-end encryption ensured regulatory adherence without compromising processing speed.
By leveraging Nected's platform, the company not only streamlined its claim processing but also positioned itself to scale efficiently while maintaining compliance and improving service quality.
Nected has completely transformed our claim processing operations. Tasks that once required a 500-person team and took days can now be completed in minutes without manual intervention. By automating over 600 claim conditions using Nected's Decision Table and Workflow features, we've drastically reduced operational costs and improved efficiency. The integration with our PostgreSQL database was seamless, and the self-hosted solution ensures we meet all security and compliance requirements. With real-time processing capabilities, we now provide faster and more accurate claim decisions, enhancing our service to healthcare providers.
Operation Lead
Case Studies
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Case Studies
Used by Product & Devs at
Nected stands out in the rule engine and workflow automation market primarily due to its superior API and workflow orchestration capabilities. It allows easy integration with various systems and services, making it highly efficient for processes involving multiple APIs. The platform also excels in handling complex workflows, offering a user-friendly interface that simplifies designing, automating, and optimising business processes. This makes it particularly attractive to teams seeking to streamline operations with minimal technical intervention.Another key advantage of Nected is its low-code/no-code approach, which makes it accessible to both technical and non-technical users. This aspect not only speeds up deployment but also reduces reliance on IT teams. Additionally, Nected ensures scalability and robust performance, adapting to growing business needs while maintaining efficiency and reliability. Its emphasis on security and compliance further cements its position as a reliable and versatile choice for businesses looking to enhance their automation strategies.
Nected's low-code/no-code (LCNC) environment is designed for both technical and non-technical users, ensuring a quick and easy learning curve. With an emphasis on rapid onboarding and intuitive design, users can start efficiently utilising its features, regardless of their technical background.
Nected is designed for scalability and performance, supporting mission-critical workflows with robust architecture. It can handle increasing loads and complex processes efficiently. The platform typically offers high uptime and reliable response times, though specific metrics should be checked in its service level agreement (SLA).
Nected prioritises security and typically adheres to industry-standard practices for data protection. The nature of data stored depends on your workflows but can include user data, transactional data, and operational data. Nected likely employs encryption, access controls, and regular security audits to protect this data. We are also in process of obtaining SOC2, ISO ?& GDPR compliance.
Invocations refer to the number of times your workflows/rule is triggered via API, cron or other trigger. It will count the parent rule/workflow and can have as many rules, nodes within it. This metric is often used for billing purposes. Compared to other products, invocations as a billing metric can be more cost-effective and transparent, aligning closely with your actual usage and needs. It ensures you pay for the value you receive, rather than flat rates or less relevant metrics.
If you exceed, you'll be charged based on additional usage and will be added in your monthly charge. In case of payment failure after grace period, your plan will be reverted to free trial limiting your monthly execution and # of rules/flows as per free plan, however all your existing rules/workflow data would be kept intact.
Firstly, we do not have a vendor lock-in, so you can cancel anytime you want. However, if you decide to cancel once your subscription for a given period has started then you would be able to cancel at the time of the next billing cycle only.
Yes, you can typically upgrade your Nected plan at any point during your billing cycle. The upgrade process is usually straightforward, often involving just a few clicks in your account settings. Upgrading mid-cycle may involve prorated charges for the higher-tier service.
The best plan depends on your specific needs, such as the expected number of invocations, the complexity of your workflows, and the level of support you require. Itâs a good idea to start with a basic plan and upgrade as your needs evolve, especially if you're new to Nected. Moreover, you can also write to us at assist@nected.ai and we will help you figure out the best plan for your brand.
Yes, Nected usually offers assistance in setting up and creating a Proof of Concept (POC), especially under certain plans. This assistance can include access to customer support, documentation, and possibly dedicated account management.
The Startup and Growth plans typically provide basic to enhanced support, including access to customer service through email or chat, a knowledge base, and possibly community forums. Response times and the extent of personalized assistance may vary between these plans.
The on-premise plan generally offers the most comprehensive support, including dedicated account managers, 24/7 support, and tailored assistance for deployment, maintenance, and troubleshooting. This plan is best suited for businesses with extensive, mission-critical use of Nected.
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