The Health Plan Utilizes End-to-End Platform to Drive Performance

After becoming a full-service client only 2 months into their initial engagement, THP expanded into other lines of business and surpassed their chart retrieval goal by 15%.

Only two months after their initial engagement with Episource, THP had significantly improved their RAPS and EDPS submissions and error management for their Medicare Advantage (MA) line of business, which serves 16,000 members. Through epiEncounter, Episource’s SaaS submissions platform, 200,000 lines of EDPS errors were corrected in those initial 2 months with $1M in potential lost revenue identified.

The Challenges:

  • Low Chart Retrieval Rates
  • Low Coding Accuracy
  • High Rates of Provider Abrasion
  • Lack of Transparency

Download the case study to learn more about Episource’s approach and the solutions that were implemented to drive results for The Health Plan.


Presentation @ RISE VBC: Effective Collaboration Strategies Between Payer & Provider