Large-sized multi-specialty healthcare provider got $16M ACV engagement for the first 12 months

156K

Registered Users

193M+

Lives Supported

1.7T+

Billed Claim Value Processed (Annually)

5/5

Top US healthcare payers

4K+

Registered RCM Companies

278+

Plans Served

14.8M+

Charts Coded (Annually)

$4B+

Under Payment Identified

2.7K+

Medical Lockboxes

40+

Years of 
experience

Overview

A large multi-specialty healthcare provider in Texas faced numerous challenges, including unprocessed claims, high-volume B2B payments, and work backlogs. Seeking a comprehensive solution, they turned to PCH Health Solutions to revolutionize their operations.

Outcomes

  • Reduced the client's TATs using our augmented payment and claims processing solution.
  • Developed resiliency for the client using PCh Health's hub-and-spoke model to support the new process, avoiding adverse impacts with a robust DR solution.
  • Reduced handoffs between deposits and reconciliation.
  • Achieved same-day deposits.
  • Completed reconciliation within 48 hours.
  • Processed exclusive volumes for the organization, amounting to a $16 million ACV engagement for the next 12 months.
  • Achieved significant scalability using a fully variable solution model.
  • Gained access to an extensive set of platform tools.
  • Offered customers add-ons to up-sell products and services, benefitting the end customer.
  • Reduced efforts for all stakeholders – the Payer, the Provider, and the Bank.