Case study

Medical billing and claims back office

Compressing billing exceptions while protecting compliance and auditability.

Context

A healthcare administrator faced mounting billing exceptions, delayed approvals, and inconsistent documentation.

What was broken

  • Exception rules lived in inboxes and spreadsheets.
  • Approvals stalled because decision thresholds were unclear.
  • Compliance evidence was scattered across systems.

What was redesigned

  • A rules-based exception catalog with clear ownership.
  • A decision ladder aligned to compliance thresholds.
  • A knowledge base of policy citations linked to each step.

Outcome

The team reduced rework, improved audit readiness, and gained a reliable path from claim intake to resolution.