At a Glance
After being disappointed by a previous financial services vendor, Lee’s Marketplace switched to Cardinal Health Reconciliation Plus (powered by EnlivenHealth) and got the hands-off claims management experience they always wanted, saving approximately 24 hours of staff time every month that they can allocate to patient-centered activities.
Background
Lee’s Marketplace, a Utah-based multi-store pharmacy chain, was having trouble managing their claims. Even though they were using a reconciliation service provider, their claims were being written off instead of addressed. The pharmacy staff had to constantly research open claims and ask their vendor why they hadn’t been reconciled yet. Finally, the manager assigned to their account left the company, and another was never assigned to them despite numerous queries and requests. They were paying a premium price for less-than-premium service.
With the opening of a new store, Lee’s Marketplace tried Cardinal Health Reconciliation Plus — powered by EnlivenHealth — and finally started getting the results they wanted. Cardinal Health’s dedicated reconciliation analyst gives them constant feedback on their claims and manages their reconciliation process from beginning to end. Now, the pharmacy staff at Lee’s Marketplace has more time for what matters most: their patients.
“We wanted a more hands-off approach to reconciliation, and we finally got that with Reconciliation Plus.”
James Jenkins, Financial Controller, Lee’s Marketplace
Challenges
Too Much Staff Involvement: Staff members spent too much time managing third-party payments; they desired a more hands-off approach to reconciliation.
Mismanaged Claims Reconciliation: Inaction and mismanagement of the claims process by their previous vendor forced the staff to step in and research open claims.
Lost Revenue from Missing Claims: Lee’s Marketplace lost revenue due to their previous vendor writing off missing claims instead of following up with payers.
Solution: Cardinal Health Reconciliation Plus
Cardinal Health Reconciliation Plus provides the technology pharmacies rely on to manage third-party accounts receivable plus the proactive, expert support of a dedicated reconciliation analyst. Pharmacists simply need to verify that direct payer payments are received, then the rest is up to the team at Cardinal Health.
With Reconciliation Plus, the reconciliation analyst for Lee’s Marketplace was able to free up valuable staff time by working as an extension of the pharmacy team and taking on all claims management and reconciliation activity. Pharmacy staff members no longer had to research open claims or follow up with the analyst; instead, the analyst proactively gives constant feedback on claims as they are submitted and manages the process from beginning to end.
Results
24 Hours/Month Time Savings: With its dedicated analyst working as an extension of their team Cardinal Health Reconciliation Plus saved Lee’s Marketplace approximately 24 hours per month in staffing time.
Hands-Off Reconciliation Process: For the first time, Lee’s Marketplace experienced a truly hands-off claims management experience where the analyst handled every step of the process.
For More Information
Are you a Cardinal Health member that needs help with your reconciliation process? Reach out to your Cardinal Health representative or visit cardinalhealth.com for more information about Cardinal Health Reconciliation Plus.