Palomar Health Streamlines Claims Management

Before FinThrive

A poor integration between their claims management vendor and their EHR Claims scrubber solution lacked robust data analytics, requiring costly third-party tools

Manual data handling increased labor costs and operational inefficiencies

Solution Highlights

Integrates seamlessly with Oracle Health’s Millennium EHR system

Eliminates the need for third-party tools for claims scrubbing

Provides better insights into claims and payer remittances

Claims Manager’s bridge routine logic automates repetitive tasks

Customer Overview

With multiple facilities in the San Diego area, Palomar Health is the largest public healthcare district in California. Their accolades include an award-winning wellness program and a #5 ranking in the most advanced hospitals in the world.

↑5%

Increased clean claim rate from 82% to 87%, with a goal of exceeding 90%

3.5%

Reduced rejection rate from 6% to 3.5%

$$$$

Saved thousands of dollars by eliminating need for third-party analytical tools