Success Story

Transformations
Care Network’s
way forward

A mental healthcare network’s journey to improve claim visibility + reduce denials

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99.1%

clean claim rate

96.94%

perfect pass rate

>69%

decrease in rejected claims

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CHALLENGES

The journey to maximize
revenue cycle efficiency

Due to complex behavioral health requirements coupled with antiquated
technology from prior vendors, Transformations Care Network faced challenges
like highly manual posting processes, delayed payments, and poor denial visibility.

Actions

Steps to decrease denials +
accelerate payments

Leveraging Waystar’s purpose-built software, Transformations Care
Network has transformed claim management to reduce rejections,
stay ahead of denials, and bring in faster payments.

The smarter way
to reduce rejections

With Waystar’s customized claim logic, Transformations Care Network reduces errors and rejections from complex behavioral health payer requirements.

The faster way
to get paid

The mental healthcare network now streamlines remittance posting — reducing delays, improving cash flow, and expediting claim-to-payment turnaround time.

The clearer way
to address denials

With real-time analytics and dashboards, Transformations Care Network now quickly identifies denial trends and proactively improves performance.

Get the full story

Read more about how Transformations Care Network revolutionized its revenue cycle operations to simplify claim management and reduce denials.

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“There are so many things we’re able to do and streamline with Waystar. If we didn’t have that partner there, it would be lots of paper, manual processes, and reports. I don’t think we would be nearly as efficient as we are today, and I believe my team would need to be larger.”
Nicole Garrison, National Director of RCM, Transformations Care Network

Results

Propelling their mission forward

Transformations Care Network has refined their revenue cycle
processes, achieving powerful results in staff productivity, claim
accuracy, and denial visibility.

99.1%

clean
claim rate

96.94%

perfect
pass rate

>69%

decrease in
rejected claims

80

new care
locations opened

60%

of auths obtained
automatically in first year

61%

Epic Pulse score for
authorization*
*Top 25% of all Epic clients

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