Case Study: Scripps Clinic recovers $10.6 million in underpayments with Experian Health

Scripps Clinic - Customer Case Study

Scripps Clinic, a San Diego-based multi-specialty group practice with more than 400 physicians in 50 specialties, needed a better way to monitor the performance of 35 payer contracts generating more than 2 million claims annually. Experian Health helped address the challenge with Contract Manager and Analysis, along with Payer Alerts, to automate contract monitoring and keep up with payer policy changes.

Using Experian Health’s Contract Manager, Scripps Clinic was able to verify contractual allowed amounts, identify underpayments, and appeal recovery opportunities more effectively. The results included $10.6 million recovered in underpaid claims over nine years, improved workflow efficiency, faster appeals, better revenue forecasting, and stronger payment accuracy oversight.

Scripps Clinic

Tonja Henderson

Supervisor of Business Services, Reimbursement