Case Study: Multi-State Health Plan increases itemized bill review value by 61% with Trend Health Partners’ CAVO AI technology

Multi-State Health Plan boosts itemized bill review value by 61% with Trend Health Partners

The customer, a multi-state health plan, engaged Trend Health Partners to increase the volume of their itemized bill reviews. Their challenge was that a team of ten full-time reviewers was manually processing only 7,500 claims per year, a process that was time-consuming and costly.

Trend Health Partners implemented its CAVO medical review technology to automate and optimize the workflow. This solution eliminated manual transcription and used AI to prioritize claims. As a result, the health plan achieved a 61% increase in total financial value, adding $14 million. Throughput per user increased by 97.3%, internal resource costs were reduced by 25%, and the appeal rate dropped by 1%.

Multi-State Health Plan