Case Study: UCHealth achieves faster, more accurate patient cost estimates with Tegria automation

Automation Increases Cost Estimate Efficiency By 6,000%

UCHealth, a nonprofit health system in Colorado, sought to advance its use of Epic's automated patient estimate features to reduce manual work, improve accuracy, and meet No Surprises Act regulations. Their existing process was largely manual and struggled to produce consistent estimates, creating a significant operational challenge. They partnered with vendor Tegria to address this.

Tegria implemented a solution focused on updating the charge router, automating the creation of pending estimates, and refining the process for finalizing estimates with high accuracy. The results were dramatic: UCHealth achieved a 6,000% increase in estimates created, with 98% of scheduled surgical cases now having an estimate and a 30% increase in accuracy across all estimates. Tegria's work helped UCHealth become a leader in leveraging Epic's automation for price transparency.

UCHealth

Jenny Eno

Senior Director, Epic Revenue Cycle Applications