Case Study: WCF Insurance achieves faster claims decisions and dramatically reduced turnaround time with Cotiviti's MediConnect Record Retrieval

Web-Based Medical Record Retrieval Service Increases Efficiency for Large Mutual Insurance Company

WCF Insurance, a mutual workers’ compensation carrier serving more than 20,000 Utah employers, struggled to obtain timely, complete medical records needed to evaluate claims within the state’s 45-day decision window. To address lengthy follow-ups, advance payments to providers and paper-driven workflows, WCF engaged Cotiviti and implemented the MediConnect Record Retrieval service.

Cotiviti’s MediConnect solution outsourced record retrieval, added retrieval costs to claims, and delivered an online, all-digital document management and status-tracking system. As a result, Cotiviti dramatically shortened average turn‑around time to 8.5 calendar days in the first month, enabled instant status tracking, streamlined accounts payable and gave adjusters more time to focus on liability decisions and higher‑value claims.

WCF Insurance

Paola Stauffer

VP of Claims Administration