Integrating E2E Event Tracking into HealthcareClaims Processing for Operational Excellence

Abstract

In healthcare organizations, the claim adjudication process is critical for ensuring accurate and timely reimbursements. This paper explores the implementation of End-to-End (E2E) event writing information to enhance the efficiency, transparency and accountability of the claim adjudication process. By systematically tracking events throughout the adjudication lifecycle,
organizations can identify bottlenecks, improve performance metrics, and enhance the overall quality of service. This study presents a comprehensive framework for E2E event tracking, discusses the associated challenges, and proposes best practices for effective implementation.