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^®.