Case Study: Good Samaritan Health System achieves faster payments and 90%+ claim acceptance with Optum RelayAssurance Plus

Smoothing the Path to Faster Payments

Good Samaritan Health System, a 172-bed hospital in Lebanon County, Pa., faced slow payments, low claim acceptance rates and frequent payer changes that created denials and duplicate-claim headaches during a period of system change. To address daily productivity reporting and prevent claim rework, the organization turned to Optum, implementing RelayAssurance Plus (and RelayAssurance Attachments) to centrally monitor edits and acceptance metrics.

Optum’s RelayAssurance solutions gave Good Samaritan real-time edit reports, hold-bill tracking, configurable bridge routines and electronic attachments, enabling errors to be caught before claims were submitted. The results: acceptance rates rose from about 70% to 90% or higher, claim-billed-per-hour metrics that once took 2–3 hours to compile now take 5–10 minutes, and denials, postage costs and remittance delays were significantly reduced.

Good Samaritan Health System

Cynthia Schwalm

Patient Accounting Manager