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Reducing Paper Claims to Unlock Faster Reimbursement

Cut costs + accelerate payments by eliminating paper

Executive Summary

Challenge:

Increased volume of manual, paper based secondary claims that cause operational strain 

Solution:

Availity Revenue Cycle Management

Results:


80% decrease in paper claim volume

75% reduction in staff time spent on manual processes

Significantly faster reimbursements, improving cash flow and reducing administrative backlogs 

Client Info


Company: Regional Academic Health System

Employee Count: 5000+ employees

Product/Solution: Availity Revenue Cycle Management 

Background

A prominent academic health system—recognized nationally for its leadership in research, education, and patient care—noticed an increasing volume of manual, paper based secondary claims. As claims grew, the burden on administrative teams intensified, revealing clear opportunities to modernize processes and reduce operational strain. 

Business Challenge

Across the industry, uneven payer adoption of electronic secondary claims continues to create friction for revenue cycle teams, forcing organizations to juggle digital and manual processes. For this academic health system, that fragmentation translated into:

Labor-Intensive Workflows: Staff were spending excessive time printing, preparing, and mailing paper claims, shifting focus away from higher value initiatives.

Payer Limitations: A concentrated group of payers still required paper submissions, creating unavoidable manual work.

Rising Operational Costs: Printing, postage, and rework represented a meaningful financial drain.

Staffing Constraints: The administrative lift required to manage manual claims pulled team members away from strategic, patient-centered responsibilities.

Solutions

To address these pressures, the organization partnered with Availity to design and implement a targeted automation strategy.

The teams began by analyzing the health system’s secondary claim volume, identifying high-volume payers, and mapping existing workflows in detail. This assessment formed the blueprint for a comprehensive automation approach tailored to the organization’s payer landscape.

Paper Reduction through Drop-to-Payer Automation: Availity deployed a drop-to-paper solution that dramatically streamlined operations by digitizing the claim creation process and reducing the dependency on manual printing.

Continuous Performance Monitoring: The teams established biannual reviews to adjust for shifts in payer volume and implemented enhanced reporting to track automation results during testing and beyond.

Financial Focus and Faster Reimbursement: Automation accelerated the reimbursement cycle, reducing delays typically associated with manual workflows and improving financial performance across key revenue cycle metrics. 

“Availity has the expertise to go deep with customers and help solve complex revenue cycle challenges, all the way through our Epic workflows. An extra hour in our day to work on other highvalue activities is huge, and reducing paper takes away a major headache.”

Revenue Specialist 

Results

decrease in paper claim volume 

reduction in staff time spent on manual processes 

Significantly faster reimbursements, improving cash flow and reducing administrative backlogs 

Conclusion

By reengineering its secondary claims process with Availity’s drop-to-paper automation, the health system dramatically reduced manual work, accelerated reimbursements, and built a scalable, repeatable workflow for long-term success. The collaborative approach—grounded in data, payer segmentation, and transparent performance tracking—ensured a smooth implementation and lasting impact. This initiative demonstrates the power of automation to reduce costs, eliminate administrative friction, and free teams to focus on strategic, highvalue work. With Availity’s deep expertise and integrated RCM solutions, the organization now has a strong foundation for continued optimization across the revenue cycle. 

Learn More

To learn more about Availity’s RCM Offerings, contact your account manager or visit Availity.com.

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