Case Study

Elderplan: Lower Administrative Costs and Maximize Operational Efficiency

Headquartered in Brooklyn, New York, Elderplan is a well-established, not-for-profit health plan organization. This case study details how Elderplan leveraged HealthRules Payor to maximizes their operational efficiency and control administrative costs while embracing an evolving business model.

In this case study you will learn:

  • The challenges faced by Elderplan in maximizing operational efficiency to process Medicare claims
  • How HealthRules Payor enabled Elderplan to achieve a 92.5% auto-adjudication rate and reduce the number of consultants utilized for claims processing
  • How Elderplan dramatically reduced the claims inventory for review

Read the case study to learn how Elderplan is realizing significant benefits from the use of HealthRules Payor.