UCHealth Insurance Payment Recovery Case Study

This case study outlines how UCHealth effectively secured over $62 million in insurance payments in 2022 through the implementation of Coverage Discovery, a solution provided by Experian Health. The challenge faced by UCHealth during the COVID-19 pandemic involved identifying previously unknown insurance coverage for uninsured and self-pay patients to seek reimbursements from the Health Resources and Services Administration’s COVID-19 Uninsured Program. The case study details the resolution achieved by UCHealth, which involved utilizing Coverage Discovery to streamline the verification of insurance coverage and reduce the backlog of patient accounts. The results demonstrated a significant financial impact, including a $3.5 million reduction in collection costs and an increase in insurance payments from various payers. The successful integration of Coverage Discovery with existing systems allowed UCHealth to enhance its billing processes and expand the solution to include Medicaid coverage identification, showcasing the effectiveness of the technology in improving revenue cycle management.