Delayed Claims from Eligibility Verification Delays
Definition
Enterprise Patient Verification (EPV) takes up to 72 hours for batches of 1000 patients, retrying failed requests extends time-to-cash cycle.
Key Findings
- Financial Impact: 20-40 days extra in Accounts Receivable; AUD 100-500 interest equivalent per delayed claim
- Frequency: Per batch submission (up to 1000 patients)
- Root Cause: Batch processing limits and retry requirements for rejected verifications
Why This Matters
Elderly care providers in Australia lose AUD 5,000+ yearly in delayed receivables. Real-time automation cuts verification to seconds.
Affected Stakeholders
Accounts receivable team, Hospitals and day surgeries
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Out-of-Pocket Surprise Churn
Rejected Claims from Failed Eligibility Checks
NDIS Incident Reporting Penalties
Governing Body Determination Application Fees and Delays
Assessment Waiting List Delays
Non-Compliance History in Reassessments
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