Case Study: Northeast Medicaid Program avoids $1.2B in claim payment errors with FinThrive

Northeast Medicaid Program avoids $1.2B in claim payment errors with FinThrive

The Northeast Medicaid Program, a large state program managed by Accenture, faced the challenge of maximizing savings by identifying third-party liability (TPL) for its over 2 million members. Their existing process for posting identified TPL was inefficient. They partnered with FinThrive to modernize this process and prevent claim payment errors.

FinThrive implemented its solution, which utilized patented data-matching technology to accurately identify other insurance coverage. This improved administrative processes and ensured claims were appropriately billed to third-party payers. The results were significant, with the FinThrive solution enabling a total cost avoidance of $1.2 billion from 2021 to 2023 for the customer.