Accurate, Transparent, and Compliant Retrospective Chart Reviews for a Large Payer

Download this case study to learn more about Episource’s approach and the solution that was implemented to drive results for a national insurer with more than a quarter of a million members and half a million charts.

Having grown significantly through acquisition, the client needed to retrieve records
from more than three dozen states. Having originally hired multiple vendors, the client experienced the following challenges:

The Challenges:

• Data Quality Issues: Inaccurate provider contact information as well as
  unconsolidated and uncleansed data in disparate systems
•  Provider Abrasion: Provider-abrasion challenges due to multiple vendors
  struggling with poor data quality
• Missed Retrieval Targets: Also due to data quality issues, many retrieval
  goals were not met