Coordination of Benefits Denials Case Study

Case Study | May 14, 2024

RCM Vendor’s Specialized Expertise and Technology Reduces Provider’s COB Backlog

A not-for-profit health care system operating multiple hospitals and medical clinics across seven states had a well-defined system in place for coordination of benefits (COB) denials, including communicating with patients through a variety of tools. However, the system’s internal teams were running into issues connecting with patients and determining which plans were primary and which were secondary. Additionally, most accounts averaged more than 200 days old, leading to decreased cash flow and patient satisfaction and increased bad debt and A/R days. Working through and resolving these accounts required investment in outside resources, so the provider decided to partner with Elevate Patient Financial Solutions®.

Click the button below to download the full case study to learn how ElevatePFS provided a strategic model for responding and preventing COB denials. The ElevatePFS team was able to resolve 42% of the accounts and collect more than $13M for the provider, while the ElevatePFS dedicated internal legal team ensured compliance with all laws and regulations.

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