Case Study
Claims Manager

Palomar Health Streamlines Claims Management

smiling woman using a computer

Business issue

Palomar Health faced inefficiencies with its previous claims management vendor including integration issues with their EHR, data analytics limitations and high costs due to third-party tools and manual processes. They needed a unified, cost-effective claims management solution that integrated seamlessly with their Oracle Health EHR.
icon-tech-computer-person-happy
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

icon-concepts-hands-growth
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

icon-buildings-hospital-3
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.

FinThrive Value

↑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

“FinThrive has simplified our claims management process, saving us time and money. The seamless integration with Cerner and powerful analytics have transformed our revenue cycle operations.”

Travis Pittman
Revenue Cycle Manager

GettyImages-976581816_CT

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.