Case Studies

How Providence Health found $30M in coverage and reduced denial rates with automated eligibility checks 

UCHealth writes off $26 million in charity care by automating financial assistance process.

How West Tennessee Healthcare replaced clipboards with clicks, modernizing patient intake with Registration Accelerator. 

Each year, Advocate Aurora achieves double-digit increases in patient collections by using Collections Optimization Manager.

Through an automated orders process, Aegis eliminated illegible testing requests and reduced attestation statements by 76%. 

Implemented eCare NEXT to increase Point of Service collections and clean claim rates, as well as decrease denials and A/R days.

Banner Health experienced a $30M decrease in eligibility errors, found 30% new coverages and increased staff engagement and satisfaction. 

How Providence Health found $30M in coverage and reduced denial rates with automated eligibility checks 

Indiana University Health processed $632 million in claims transmissions in one week after halt to operations.

In the first six months, AI Advantage helped Schneck achieve a 4.6% average monthly decrease in denials and the time spent on denials decreased by 4x.

Patient Financial Clearance showed an overall accuracy of 88% and Kootenai Health saved 60 hours of staff time through automation. 

Expedited accounts receivable (A/R) by 13 percent and reduced full-time employee (FTE) requirements even as claims volume grew. 

Recognized a 15% reduction in A/R days and volume. Decreased denials to achieve a 92% primary clean claim rate. 

Hattiesburg Clinic sought a clearinghouse vendor that could integrate customized claim edits in Epic® and provide the desired level of customer support.

How Luminis Health used Coverage Discovery® to find $240K in billable coverage each month.

How UCHealth secured $62M+ in insurance payments and saved $3.5M+ in 2022 with Coverage Discovery®.

Over 7% increase in patient collections with Collections Optimization Manager 

Collections Optimization Manager calculates how likely a patient is to pay and uses this score to prioritize accounts. As a result, they have seen a 9.4% increase in average monthly patient payments. 

Collections Optimization Manager realized a 114% increase in collections by identifying accounts with high propensity to pay. 

Realized a yearly savings of $840,000 due to a $70,000 reduction in monthly invoicing costs for patient statements.

PatientDial helped increase calls made per day to guarantors by 900% and led to a 200% growth rate in connecting. 

An automated, data-driven process increased patient collections and provides personalized patient estimates that are 80-90% accurate.

Collections Optimization Manager has led to a 5.8% increase in unit yield year-over-year. Novant Health now has a recovery rate of 6.5% and has seen an impressive rolling average return on investment of 8.5:1.

Collections Optimization Manager helped Sanford realize a total in-house patient collections lift of more than $40 million.

Collections Optimization Manager helped UCSDH increase collections from around $6 million in 2019–2020 to over $21 million in 2020–2021 — an increase of over 250%.

Their new scoring and segmentation strategy has been a key driver in Stanford Health’s collections strategy, leading to a $4.1 million increase in average monthly payments over a trailing three-year average from 2019 to 2021. 

22% increase in average cash collections for St. Luke's University Health Network with Collections Optimization Manager

IU Health implemented a Experian's Call Center Scheduling solution, resulting in a 114% increase in patient utilization within one year across 52 departments, effectively streamlining appointment bookings and referral processes.

After implementing online self-scheduling Benefis Health System saw 50% of patients booking appointments after hours.

CareMount Medical enabled 24/7 online appointment scheduling across all its specialties and providers. 

The Iowa Clinic has averaged 8 new patient appointments booked per provider per month and seen a 97% show rate for online appoinment bookings. 

A large Medicaid managed care plan saw a 140% increase in scheduling rates by eliminating three-way calls and a 51% increase in member show rates. 

Learn how a large health system with 2,250+ providers in over 900 locations enabled online self-scheduling across their enterprise, and the many benefits that have resulted.

A large Medicaid managed care plan currently serving more than 850,000 members in the South Central United States partnered with Experian Health to supercharge their quality team’s ability to close gaps in care with digital scheduling solutions.

Since implementing the scheduling solution in their call center, Heritage Medical Associates has been able to greatly increase the volume of appointment scheduling through their call center, as well as dramatically improve the patient experience when patients call in to book an appointment.

Vanderbilt Orthopaedics improved access by enabling patients to self-schedule online. By automating each provider’s scheduling protocols, the solution ensures that patients are guided to the right care through a simple Q&A process during the scheduling experience. 

Learn how this Central region health system was able to book over 150,000 appointments across 250+ providers in the second half of 2020 and experienced a show rate of 91%.

Helped clients close gaps in patient identity records to facilitate claim submissions over $20 million with the help of Experian Health’s Universal Identity Manager solution.

Leveraged Experian Health's UIM for localized decision-making, patient outreach amid mass relocations, and Covid-19 contact tracing.