Case examine: How IU Well being processed $632 million in claims transmissions in a single week with ClaimSource


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“Because the IU Health Income Cycle staff rallied to answer the claims processing disruption, we have been uniquely positioned with our long-time Experian partnership to shortly re-institute crucial claims routines and restore a big quantity of claims transmissions.  This is able to not have been attainable with out Experian’s nimble and complete strategy, instantly making use of proficient and dedicated sources that leveraged current Experian platform infrastructure.”

– Bryan Daniels, Vice President Income Cycle Options, IU Health

Problem

Indiana College Health (IU Health) is the biggest community of physicians in Indiana comprised of over 38,000 staff members and a couple of,717 accessible beds. Based mostly in Indianapolis, Indiana, the group has dozens of amenities statewide and is on a mission to make the state one of many healthiest within the nation.

In February 2024, IU Health discovered itself impacted by the cybersecurity incident so many suppliers throughout the nation abruptly confronted. They have been unable to ship claims to insurance coverage firms and their income cycle operations got here to screeching halt. Figuring out they wanted a trusted resolution quick, the income cycle management staff requested Experian Health if they may assist.

Resolution

Conversations superior shortly and the Experian Health staff was capable of implement its Finest in KLAS ClaimSource® platform inside per week. ClaimSource is an modern claims administration resolution designed for scalability and improves income streams by minimizing denials. Through the use of automation, IT boosts operational effectivity by prioritizing claims, funds, and denials, permitting customers to sort out high-impact accounts promptly.

Final result

Because of ClaimSource, IU Health achieved the next outcomes:

  • Accelerated $632 million in claims transmissions within the first 5 days of enterprise.
  • Processed $1.1B of claims backlog by March 27.

“We worth our longstanding partnership with IU Health and IT’s very rewarding that we have been capable of assist in a really crucial scenario,” mentioned Jason Considine, Experian Health’s Chief Industrial Officer. “We all know IU Health locations the utmost significance on affected person care, and being an vital a part of our shopper’s resolution to ship on their service dedication is reflective of our service dedication to simplify healthcare.”

Be taught extra about how ClaimSource will help your healthcare group speed up money circulation, cut back denials and optimize effectivity.



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