Success Story
AVERA HEALTH
Health system automates claim status queries to insurers’ web portals and improves cash flow by millions while reducing AR days.
Challenge
As one of the leading integrated health systems in the upper Midwest, Avera Health cares for hundreds of thousands of patients across dozens of hospitals in South Dakota and significant areas of Minnesota, Iowa and Nebraska. Due to rapid growth, outstanding claims had steadily increased, creating a persistent backlog for staff to wade through.
Waystar Solution
Wickersham determined that automation could alleviate the backlog, but she had several important requirements. The solution must also be able to:
- Automate the process of finding the status on their entire claims inventory at a fraction of the time it takes to do so manually
- Leverage automation to ensure staff is addressing only claims that need intervention
- Integrate automated claim status verification with the health system’s Meditech environment