Case Study: Nation’s Largest Outsourcing Company achieves $3.1M recovery and $12.3M potential savings with SCIO Health Analytics

Nation’s Largest Outsourcing Company - Customer Case Study

Nation’s Largest Outsourcing Company, which administers self-funded benefit plans for roughly 300,000 lives, faced a large volume of claims involving other‑party liability (OPL), multiple disparate claims systems and processing locations across the U.S., and difficulty establishing an in‑house subrogation function.

SCIO Health Analytics provided a full‑service subrogation outsourcing solution using its MY SOCRATES® platform and SOCRATES® web viewer, employing multi‑dimensional data mining, custom import logic to split seven weekly extracts into nearly 20 case types, automated member inquiry handling, and contingency pricing with performance guarantees. SCIO Health Analytics delivered real‑time customizable reporting, monthly reconciliations and quarterly group reports for 800+ self‑funded groups, recovered about $3.1M in the last 12 months, identified $12.3M in potential savings as of January 2013, and achieved a response rate over 87%.