Optum
104 Case Studies
A Optum Case Study
Major National Health Plan, a northeast‑based payer with more than 35 million members and a network of 700,000+ providers, faced slow adoption of electronic payments and wanted to reduce costly paper checks. To accelerate the transition it engaged Optum and deployed the Settlement Advocate service to offer providers modern payment choices.
Optum implemented a choice-driven campaign—multiple advance notices plus an opt-out virtual credit card (VCC) program alongside EFT enrollment—that moved thousands of providers to electronic payments; electronic claim payments rose from 74% to 88.5%, approximately 53,000 providers now receive VCCs, and the program’s estimated annual financial impact was $6.2 million. Optum’s approach maintained provider goodwill (about 80% continued accepting VCCs and most others switched to EFT) while delivering substantial print/postage savings and incentive payments.
Major National Health Plan