FROM BACKLOG TO BREAKTHROUGH
How Imagenet helped a major public health plan scale claims processing by 12.5x.
THE CHALLENGE
Claims Backlog Threatened
A major public health plan struggled with a growing backlog of delayed Medicare claims.
Regulatory risk – Processing delays put them at risk of state sanctions.
Operational strain – Limited capacity slowed reimbursements.
Thousands of claims waiting – A bottleneck impacting financial stability.
They needed a solution that could scale—fast.
THE SOLUTION
Technology & Expertise to Accelerate Claims Processing
Facing mounting delays and compliance risks, the health plan turned to Imagenet for a strategic approach combining people, process, and technology.
Technology-powered workflows – Streamlined adjudication.
40+ trained specialists onboarded – Scaling capacity fast.
Process optimization – Faster turnaround, greater accuracy.
With Imagenet, the health plan eliminated bottlenecks and built a sustainable, high-performance claims operation.
THE RESULTS & IMPACT
From Bottleneck to Breakthrough
Processing Capacity Transformed:
From 1,200 to 15,000 claims/day.
12.5x increase in claims processing.
Business Impact Beyond Numbers:
Regulatory compliance ensured – Avoided penalties & delays.
Financial stability improved – Faster claims = better cash flow.
Scalable operations – Sustainable claims processing capacity.
More than a quick fix—this was a game-changing transformation.
Don’t Let Claims Backlogs Hold You Back!
See how Imagenet's claims services are faster, better, and cost-efficient —scalable to meet any health plan's needs.