GHIT DIGITAL: Smarter Quality Assurance for Healthcare Payers – Reduce Errors, Improve Compliance, and Save Time
As payer organizations prepare for one of the most document-intensive periods of the year, such as enrollment, the increasing demands of compliance and tight turnaround windows often transform Quality Assurance (QA) processes into significant bottlenecks. This blog explores smarter, more scalable approaches to document QA across all lines of business.
Consider a large regional health plan entering Q3, simultaneously managing Medicare Annual Notice of Changes (ANOC) updates, Affordable Care Act (ACA) Plan changes, and Large Group Summary of Benefits and Coverage (SBC) finalizations. Their document review cycles involve multiple stakeholders and constant toggling between document versions, tracked changes, and numerous regulatory references.
This scenario is not unique. Whether preparing plan materials for Medicare Advantage, processing, or finalizing employer-sponsored Group health documents, QA is frequently the most time-consuming phase in the document lifecycle for health plans across all lines of business. Compliance, product, and operations stakeholders must collaborate to ensure that plan changes are accurately reflected, tracked, and verified. However, manual processes make it difficult to trace what changed, when, and why—and nearly impossible to maintain version-level accuracy across teams.
Most health plans still rely on outdated QA methods, such as PDF markups, tracked Word documents, and email-based review cycles. Whether it's a CMS-mandated ANOC or an ACA Summary of Benefits, these workflows are time-intensive and error-prone. Even when managing dozens or hundreds of documents, reviewers often need to work version-by-version. In such cases, the ability to navigate two versions of a document side-by-side can significantly help avoid confusion, errors, and repetitive toggling.
This is where Side-by-Side Comparison from GHIT DIGITAL comes in.
GHIT DIGITAL's Side-by-Side Comparison, part of the GHIT Docs™ platform, is designed to resolve these challenges across all business lines. Whether used as a standalone tool or integrated within Benefits1™, it brings consistency, speed, and auditability to every review cycle.
Key features include:
Synchronized Scrolling: Ensures contextual alignment across documents.
Interactive Change List: Allows users to easily navigate through content and style differences.
Visual Style Detection: Instantly highlights font, size, and formatting edits.
Medicare Advantage: Streamlines ANOC/EOC updates with audit-ready comparisons, significantly reducing submission errors and back-and-forth during the Annual Enrollment Period (AEP).
ACA (Individual and Small Group): Accelerates SBC and plan comparison reviews while ensuring CMS compliance and minimizing manual tracking.
Large Group / Employer Plans: Facilitates the management of high-volume benefit guides and open enrollment collateral, improving alignment with broker and HR timelines.
Health plans partnering with GHIT DIGITAL for document management have reported substantial operational gains:
One payer reduced production timelines by 33% and shortened review cycles by 6 weeks.
Another achieved a 50% acceleration in SBC generation with seamless transfer to centralized storage.
Multiple Medicare Advantage organizations realized 50% faster preparation with 100% on-time CMS submissions.
These results are not merely about time savings; they reflect stronger compliance, fewer manual errors, and enhanced collaboration across benefit, product, and compliance teams.
Curious how your team could benefit from smarter document QA? We'd love to share what we've learned. Reach out to us Monika@GHIT.digital
Stay tuned for our next blog, which will explore how collaborative QA workflows create speed and clarity across product, compliance, and content teams.
Feel free to call+1 201.792.8924 ; +91 9315952386
Write to us at Monika@GHIT.digital or Contact@GHIT.digital for no obligation discovery conversation. You are welcome to share your RFPs/RPQs for us to review and respond on time.
