Digital Blue has a strong track record of success in driving measurable and sustainable transformation for clients in the health plan sector. We have been optimizing operations since 2006 and have helped leading organizations significantly improve efficiency and cost savings. Digital Blue’s expertise in medical review, mailroom and document control, provider enrollment, overpayment and recovery, provider experience (CRM), prior authorization, appeals, and claims processing have driven transformational health plan operations.

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Our clients have seen tangible results from our services, including the recovery of 30,000 RN hours per year from administrative work, a 40% reduction in cost per claim, a 4x improvement in Provider Experience productivity, $1 million per year savings in mailroom operations, a $15 drop in cost per prior authorization processed, and a 200% improvement in Medical Review effectiveness.