Experian
170 Case Studies
A Experian Case Study
University Physicians, the 545-physician faculty practice plan for the University of Missouri School of Medicine, faced labor-intensive, manual processes for identifying payer underpayments, lacked historical claims data for contract negotiations, and struggled with time-consuming insurance eligibility checks that limited preverification to specialty clinics.
By implementing Experian Health Contract Manager & Analysis and Passport Eligibility, the group automated contract monitoring and eligibility verification, expanded centralized preverification to primary care without adding staff, and improved payer negotiations. The program recovered $3.29 million over seven years with an 82% recovery rate for underpaid claims, reduced eligibility-related denials from 8.2% to 5.2% after one year (with first-submission denials reaching 3.25%), and streamlined revenue-cycle operations while minimizing posting and registration errors.
Herb Stanley
Associate Director, Financial Services