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    Plot a course toward forward-thinking innovation that improves efficiency, the patient experience and your bottom line.
     

    Case Study
    Claims Manager

    Children’s Health of Texas Updates Financial Performance

    Business issue

    Children’s Health of Texas battled inefficient claims management due to complex pediatric cases and varying AR cycles. Prior processes were not fully automated, leading to inefficiencies, manual interventions and excessive claim denials. They needed a more streamlined solution to improve claim accuracy, reduce denials and enhance productivity while integrating with their Epic EHR.
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    Before FinThrive

    Squandered significant time and biller productivity with manual claims reviews

    Complex pediatric cases, including transplants, required additional effort and precise workflows

    Poor clean claims rates led to denials and rejections

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    Solution Highlights

    New claims reconciliation process ensures real-time communication and updates between Epic and FinThrive

    Automation features like the accelerated CRD workflow and payer mapping minimize manual claims intervention

    Comprehensive reports identify recurring claim edits, enabling upstream fixes to reduce errors and optimize submissions

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    Customer Overview

    Fifth-largest pediatric healthcare provider, operating 29 facilities that include hospitals, specialty centers and primary care locations, dedicated to caring for children and families.

    FinThrive Value

    98-99%

    Achieved a 98-99% clean claims rate

    1-5

    Customer service typically resolves issues within 1-5 hours

    15-20

    Can resubmit claims 15-20 times in real-time to prevent delay or denials  

    “FinThrive’s Claims Manager has streamlined our claims process with seamless Epic integration, real-time feedback, and automation. Maintaining a 98-99% clean claim rate, we’ve minimized manual tasks, focusing on high-value work. Responsive support has boosted productivity and performance.”

    Tameika Diggs
    Senior Director of Patient Financial Services

    Revenue management without limits

    FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.

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