Case Study: Feldspar Clinic achieves $3.5M annual benefit and reduced denials with Optum360's Claims Manager

Feldspar Clinic* reduces denials, captures more revenue with proven solution

Feldspar Clinic, a multi‑specialty primary and specialty care provider founded in the mid‑90s with 40+ locations and partnerships with six Wisconsin hospitals, faced high claim rejection rates that harmed cash flow, productivity and reimbursement. To pre‑screen claims, reduce rework and support rapid growth, Feldspar selected Optum360’s Optum Claims Manager (Claims Manager) to improve accuracy and coder workflow.

Optum360 implemented Optum Claims Manager as a rules‑based, front‑end clinical editing solution that integrated with Feldspar’s practice management system, enabled remote coding, and provided customizable, location‑specific edits and reporting (including LCD/NCD checks). The solution reduced denials and rework, improved reimbursement capture and operational efficiency, supported expansion from ~20 sites to 45+ locations, and delivered nearly $3.5 million in annual benefit with an 18:1 reported ROI for Feldspar Clinic.