Sonora Quest Laboratories – Insurance Discovery

Sonora Quest Laboratories, a XIFIN, Inc. RPM customer, used several methods to capture and validate insurance eligibility and coverage information to maximize reimbursement. However, the organization continued to encounter claims without enough valid information to submit a clean claim.

Because it integrates with XIFIN RPM, Sonora Quest turned to FrontRunner Health Care (FrontRunnerHC) for advanced insurance discovery capabilities. FrontRunnerHC leverages its access to 2,000+ data sources to find, cross-check, and fix patients’ demographic and insurance information, improving the ability for touchless claim submission and expedited reimbursement.

With XIFIN and FrontRunner HC, Sonora Quest achieved positive results, including:

• Days sales outstanding declined more than 10 days.
• Cash collection is more stable.
• Volume and cost of correspondence decreased.
• Fewer errors are getting to the Hold queue (i.e., more errors resolved faster).
• Write-offs due to claims being too old to bill decreased 10 to 15 percent, saving more than $1 million each year.
• The Sonora Quest team can focus on solving the root causes of errors and denials and share best practices with their clients contributing the most error types.