UiPath & Expion Health: AI for Claims Reconciliation at Scale

Client

Expion Health

Industry

Healthcare

AI Tech Solution

UiPath Document Understanding, UiPath AI Center, UiPath Action Center, UiPath Robots, UiPath Computer Vision

Solution Provider

UiPath

Challenge

Expion Health aimed to modernize operations and create a sharper competitive edge by accelerating its claims reconciliation process. Historically dependent on manual data entry from unstructured forms, their process was time-intensive, error-prone, and constrained to ~75 claims/day.

Solution

Partnering with qBotica and UiPath, Expion deployed a multi-tool solution leveraging UiPath Document Understanding to extract and validate claim data, AI Center to manage ML models, Action Center for human-in-the-loop review, and Robots with Computer Vision to automate ingestion from payer portals. The data was routed into ExpionIQ for claims pricing.

Results

Increased claims processing volume by 600%, scaling from 75 to 500+ claims/day. Achieved a 99% success rate and 97% increase in productivity. Accelerated turnaround, improved pricing accuracy, and enabled faster onboarding of new workflows with fewer manual steps.
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