Recently, a hospital used CAVO to overturn a million-dollar claim that the insurer was refusing to pay.

—Bill Butler,Vice President, Software Architecture,Advent Health Partners

Business Challenge story

Rapid changes in healthcare regulations and laborious claims processing have led to inefficiency in the US healthcare revenue cycle, with billions of dollars tied up in insurance claims denials.

Transformation

Advent created CAVO, a solution built on IBM® Cloudant®, to develop smart search technology, helping analysts and clinical staff rapidly find the information needed to process denied claims appeals.

Benefits

CAVO improves the efficiency of the claims appeal process by up to 500 percent, helping providers recoup millions of dollars from erroneously denied claims for services provided.

Solution Category

  • IBM Cloud
  • IBM Hybrid Cloud
  • Solution Components

    • Cloudant SaaS