Case Study: State of Franklin Healthcare Associates achieves faster A/R and fewer denials with Experian Health Claim Scrubber

Robust claim scrubbing rectifies underpayments and eliminates rework

State of Franklin Healthcare Associates, a multi-specialty group with more than 100 providers across four clinical sites in Johnson City, Tenn., struggled with claim denials, underpayments, and limited front-end visibility into eligibility and coding issues. To improve reimbursement and reduce rework, the organization turned to Experian Health and its Claim Scrubber solution, along with complementary tools including Contract Management, Payer Alerts, and Eligibility and Benefits Verification.

Experian Health implemented Claim Scrubber so SoFHA could validate claims before submission, build customized edits, and monitor payer and eligibility changes proactively. The result was a 13% reduction in accounts receivable days, fewer FTEs required even as claim volume increased, and earlier detection of underpayments and payer policy changes, helping the group improve cash flow and revenue cycle performance.

State of Franklin Healthcare Associates

Amanda Clear

Director of Business Services