In a mainframe claims processing platform, programing intricate processes that are required to automate complicated and dynamic claims, is too slow and expensive. Since most of the decisions necessary to automate an MHC claim are rules-based, use structured data, and relate to relatively stable processes, RPA’s non-code invasive nature makes the Software Development Life Cycle (SDLC) process unnecessary.

Let’s talk about the various use cases for RPA in Managed Healthcare.