By Mitesh Kumar, Senior Vice President, Claims Practice Lead

In healthcare, operational silos — especially within the claims process — create inefficiencies, delays, and increased costs for payers, providers, and members. Each healthcare encounter generates a claim that often travels through fragmented systems, leading to rework, high denial rates, and provider abrasion. With over 5 billion claims processed annually and 850 million denied, the need for streamlined solutions is urgent. Breaking down silos through process mining empowers payers to optimize claims management, foster collaboration, and deliver more equitable, efficient care — aligning with the broader goals of healthcare transformation.

Read the full article in Healthcare Business Today.