Case Study: Child Family Center achieves a 1.5% claims denial rate with Exym

Achieving a Claims Denial Rate of 1.5%

Child & Family Center was struggling with a high volume of denied insurance claims, a problem that consumed valuable time and resources. Their previous process lacked an easy way to validate claims, meaning they would only discover issues after the lengthy reimbursement process was complete. This challenge prompted them to seek a solution from Exym's electronic health record and billing system.

Exym implemented its software to provide extensive pre-submission validity checks, a best-in-class integration with the IBHIS county system, and a color-coding system for detecting inactive Medi-Cal status. This allowed the agency to identify and resolve problematic claims before they were submitted. As a result, Exym helped Child & Family Center achieve a dramatically reduced claims denial rate of just 1.5% within nine months, while also streamlining their insurance eligibility check process.

Child Family Center

Ann Adams

EHR Billing & Support Coordinator