Automation Anywhere

The number every healthcare COO should know: $800 million.

That's what inefficient Coordination of Benefits processes cost U.S. healthcare annually, not because of missing technology, but because of a document problem that has compounded quietly for decades.

Here's what's behind that number.

There are over 3,000 different format variations for Explanation of Benefits documents. No two primary payers send the same structure. And despite everything the industry has done to digitize claims operations, 55 to 65 percent of secondary payer EOBs still arrive as paper or PDF.

That means claims teams responsible for adjudication accuracy are, in many organizations, doing manual interpretation at scale on documents that look different every time they arrive.

This is an operational design problem that most transformation roadmaps haven't fully confronted. The tools exist.

The organizations closing this gap are moving beyond basic document extraction. They're applying autonomous agents capable of validation, exception handling, and downstream decisioning, treating the EOB as a workflow trigger, not a document to be read.

The $800 million isn't an industry abstraction. It lives in your rework queues, your exception backlogs, and your cycle times.

We're covering exactly this in our on-demand webinar, including live agent demos and practical implementation approaches: https://ow.ly/npCA50ZlaYo