How Proactive Alerts Delivered Impact from Day One

Problem

A physician-led healthcare management company with more than 160 providers and 150,000 patients annually began experiencing a sharp rise in timely filing denials across multiple locations. Despite the growing issue, the root cause remained unclear.

Solution

Adonis Intelligence surfaced an alert showing a 48% spike in denials tied to CARC code P129 (“Missing or incorrect prior processing information”). This insight provided the client with a clear starting point for investigation, allowing the team to zero in on where denials were originating and why they were occurring.

Outcome

A further investigation revealed that incorrect insurance registrations at one facility were driving the surge in denials, an issue that had already begun affecting other sites as well. With Adonis’ insights, the organization quickly corrected the error, preventing further revenue leakage and protecting future claims. More notably, this insight surfaced to the client on the very first day of the partnership through Adonis Intelligence Alerts, highlighting the platform’s ability to deliver immediate and measurable impact.