Case Study: Spartanburg Regional Healthcare System achieves improved revenue-cycle insight and higher first-pass claim rates with Optum's RelayAnalytics Pulse

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Spartanburg Regional Healthcare System faced limited, time-consuming visibility into billing and financial KPIs, difficulty drilling into anomalies, and no easy way to benchmark performance against peer hospitals. To address this, the system implemented Optum’s RelayAssurance claims management with Optum’s RelayAnalytics Pulse to turn claims data into actionable intelligence and configurable peer comparisons.

Optum’s solution provided daily KPI snapshots, customizable peer benchmarks and rapid root‑cause drilling, with virtually no setup and seamless integration with existing claims data. The results included a first‑pass clean claim rate of 84.82% versus 68.17% for selected peers (16.65% higher than peers), faster claim payments, quicker denial resolution and measurable productivity gains—plus concrete fixes such as restoring the electronic funds transfer rate by identifying a single payer issue.

Spartanburg Regional Healthcare System

Brian Earnest

Vice President of Revenue Cycle