Claims processing · Production

Lido automates Medicaid claims data extraction at Relay, freeing hundreds of hours weekly

The problem

Multiple Relay teams were manually extracting data from 700+ page Medicaid claim PDFs and uploading it into their system, making the processing of over 16,000 claims every 1-2 months painfully slow, costly, and error-prone, which led to delayed and errant reimbursements for school districts.

Workflow diagram · grounded in source

PDF claims documents arrive

trigger

“Relay processes over 16,000 Medicaid claims every 1-2 months across their partner school districts. These PDFs are often 700+ pages long, inconsistently structured, and packed with critical data needed for Medicaid claiming, reconciliati…”

Lido extracts claims data

ai_action

“the Relay team started automating a meaningful portion of their claims processing workflow in Lido”

Team fine-tunes extraction configs

human_review

“the Relay team was able to fine tune data extraction configurations themselves to capture the different extraction nuances required for each state. Empowering the people closest to the business logic to own each data extraction workflow …”

Claims and reimbursements processed

output

“packed with critical data needed for Medicaid claiming, reconciliation, and reimbursements”

Reported outcome

Lido automated Relay's claims processing workflow, freeing up hundreds of hours each week.
Work that previously required multiple team members over several months now takes one person less than a week, enabling the team to scale without adding headcount.

Reported metrics

Hours freed per week across organizationhundreds of hours each week

Task cycle timemultiple team members several months now takes one person less than a week

Medicaid claims volume processedover 16,000 every 1-2 months

Headcount required to scalescale without adding headcount

Reported stack

Lido

Source

https://trylido.com/customers/relay

Read source ↗

Frequently asked questions

What did this team achieve with this AI workflow?

Lido automated Relay's claims processing workflow, freeing up hundreds of hours each week.

What tools did this team use?

Lido.

What results were reported?

Hours freed per week across organization: hundreds of hours each week; Task cycle time: multiple team members several months now takes one person less than a week; Medicaid claims volume processed: over 16,000 every 1-2 months; Headcount required to scale: scale without adding headcount (source-reported, not independently verified).

How is this claims processing AI workflow structured?

PDF claims documents arrive → Lido extracts claims data → Team fine-tunes extraction configs → Claims and reimbursements processed.

Lido automated Relay's claims processing workflow, freeing up hundreds of hours each week.Work that previously required multiple team members over several months now takes one person less than a week, enabling the team to scale without adding headcount.