Remittances need line-level interpretation.
Paper and scanned EOBs use payer-specific layouts. Billing teams must identify patient and claim references, payments and adjustments before posting or follow-up.
More manual handling for billing teams
Healthcare & Life Sciences Automation
Healthcare & Life SciencesAutomation
Less administration. More capacity for care.
Connect patient access, remittance processing and provider enrollment. Xalta applies document intelligence, workflow automation and systems integration to the administrative systems that support care delivery.
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Industry challenges
The administrative pressure behind patient care.
Billing, enrollment and service teams work across patient records, payer requirements and separate applications. Incomplete data and unresolved exceptions create avoidable handoffs.
Payment exceptions hold up revenue work.
Missing payments, duplicate claim references and unclear adjustment codes need investigation. Reconciliation gaps can send the same claim back through several queues.
More effort across posting and reconciliation
Patient and payer records sit apart.
EHRs, practice management applications, payer portals and finance systems hold different parts of the patient or claim record. Staff bridge those gaps with repeated lookups and updates.
Slower handoffs between administrative teams
Provider enrollment needs current records.
Provider profiles, supporting documents, payer applications and renewal tasks require ongoing coordination. Missing information adds follow-up work before an application can progress.
More outstanding work for enrollment teams
Where we help
Connect care and life sciences operations.
Focus on the administrative work around patients, claims, provider records and research documents, with clear ownership of exceptions and approvals.
Healthcare
Patient registration & eligibility
Structure patient registration and insurance details, prepare eligibility enquiries and route scheduling requests to the appropriate team.
Flag missing identifiers and conflicting information before a coordinator proceeds.
Healthcare
Revenue cycle & remittances
Extract EOB payment and adjustment details, associate them with claim lines, and prepare X12 835 output or downstream posting data.
Send unapplied payments, unmatched claims and unclear adjustments to the billing reviewer.
Healthcare
Provider enrollment & credentialing
Coordinate provider profile updates, payer applications, supporting documents and renewal tasks across the enrollment workflow.
Track missing documents and outstanding payer actions; retain provider review and authorization steps.
Healthcare
Patient & payer contact operations
Support eligibility, claim-status and service enquiries within the agreed call scope, then pass complex conversations to an operator with context.
Keep request scope, information access and handoff conditions explicit.
Life sciences
Life sciences document administration
Explore classification, metadata checks and completeness reviews for study administration, supplier records and internal controlled documents.
Route scientific assessment and document approval to the authorized team.
Healthcare & life sciences
Healthcare finance & workforce
Coordinate supplier invoices, transaction reconciliation and approved access-removal tasks across hospital, practice or life sciences back-office systems.
Retain approval thresholds and a record of completed actions.
Relevant solutions
Defined workflows. A practical starting point.
Start with a solution aligned to an existing operational need, then configure the source systems, rules and review paths around your environment.
Revenue cycle
EOB Processing Automation
Match EOB payments and adjustments to claim lines, then route posting exceptions for review.
Explore solutionProvider operations
Insurance Credentialing Automation
Coordinate provider profiles, payer applications and renewal records with clear ownership.
Explore solutionPatient & member service
AI Voice Agents
Support eligible patient and payer enquiries, with context passed to a live operator.
Explore solution
Finance & procurement
Accounts Payable Invoice Automation
Match hospital or laboratory supplier invoices to purchase orders and route approvals.
Explore solution
Finance operations
Accounting Reconciliation Automation
Reconcile payment and ledger records, highlighting mismatches for the finance team.
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IT & workforce operations
User Access Deactivation Automation
Complete approved staff offboarding actions across healthcare applications and record the outcome.
Explore solutionServices for this industry
Engineering for healthcare operations.
Advisory, integration and automation services shaped around patient access, remittance processing, provider enrollment and the systems that support them.
AI Advisory & Transformation
Map patient access, remittance and credentialing workflows. Assess data readiness, exception volumes and process ownership before prioritizing an automation roadmap.
Explore serviceSystems Integration & Modernization
Connect available EHR, practice management, payer and finance interfaces. Define patient and claim identifiers, field mappings and reconciliation checks around each handoff.
Explore serviceIntelligent Process Automation
Automate EOB intake, document validation, approved payer-portal tasks and payment-posting preparation, with exception queues for billing or enrollment teams.
Explore serviceAI Agents & Document Processing
Extract payer, patient, claim and payment fields from remittances and enrollment documents. Route uncertain matches and unsupported requests to a reviewer.
Explore serviceManaged Automation & AgentOps
Monitor remittance, credentialing and voice workflows. Review failed transactions, renewal queues and changed portal screens, then test updates before release.
Explore servicePlatforms, interfaces and operating controls
Choose the implementation approach around the healthcare workflow, approved system access and the interfaces available in the client environment.
| Layer | Implementation approach | Operating controls |
|---|---|---|
| Document intelligence | OCR and document extraction for EOB line items, payer correspondence and provider enrollment records | Source references, confidence thresholds and review of uncertain fields |
| Automation & orchestration | Automation 360 where selected, APIs and controlled portal automation for approved billing and credentialing tasks | Scoped credentials, retries, exception routing and execution records |
| Healthcare & enterprise interfaces | Available EHR and practice management APIs; HL7/FHIR interfaces where supported; X12 835 remittance files | Identifier matching, field validation and transaction reconciliation |
| Operations & AgentOps | Monitoring for remittance queues, payer-portal workflows and eligible voice-agent calls | Named exception owners, access logs, regression checks and release review |
Industry experience & results
Results across healthcare operations.
High-volume administration can slow reimbursement, provider readiness and service response.
Our healthcare work connects document intelligence, workflow automation and operator handoffs to address these bottlenecks.
EOB processing
Days to secondsProcessing turnaround, previously measured in days.
EOB payment postingStandard remittance workflows
Near 100%Straight-through processing for standard remittance workflows.
EOB payment postingProvider enrollment
60%Reduction in credentialing cycle time.
Insurance credentialingEligible inbound calls
92%Call containment within the eligible inbound scope.
AI voice agent customer serviceCase studies
Healthcare work, in practice.
Explore the processes behind remittance posting, provider enrollment and voice-enabled customer service.
Case study · Remittance operations
EOB payment posting
Follow the path from a remittance document to matched payment lines, posting decisions and exception review.
Read case study
Case study · Provider readiness
Insurance credentialing
See how provider records, payer tasks, missing documents and renewal dates can be coordinated across the enrollment cycle.
Read case study
Case study · Service operations
AI voice agent customer service
Explore eligible call handling, approved system actions and the context passed to an operator when a conversation needs human support.
Read case studyTalk to Xalta
Which workflow is holding your team back?
Tell us where information stalls, which systems are involved and what your team needs to improve. We will help define a practical next step.
Discuss your requirements- Current workflow
- Systems involved
- Exception volume
- Desired outcome