Case Study: University of Utah Health achieves 65-70% immediate provider verification and stronger referring relationships with LexisNexis Risk Solutions

University of Utah Health strengthens referring partner relationships

University of Utah Health, the Mountain West’s only academic healthcare system with more than 1,000 board-certified physicians serving a five-state referral area, struggled with inconsistent patient follow-up and breakdowns in communication with referring physicians. Disparate and often inaccurate provider discharge data forced two to three FTEs to manually verify names, locations and credentials daily, delaying care transitions, creating redundancies in post-discharge treatment and frustrating referring partners.

To fix this, the health system integrated LexisNexis® Provider Data MasterFile™ with its Epic EHR to automate provider verification and meet Meaningful Use Transitions of Care objectives. The integration boosted immediate verification rates to 65–70% (above the 50% target), produced matches in nearly three-quarters of cases with 85%+ accuracy, sped information to referrers, reduced manual effort and strengthened referring-physician relationships and patient care.

University of Utah Health

Diana Snow

Director of Revenue Integrity