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Dental Case Study

How Optum Financial can improve dental claim payments.

Optum Financial can offer you a Payment Solution that is greater than traditional claim payment offerings.

90

DAYS TO IMPLEMENT THE SYSTEM

56%

BOOST IN ELECTRONIC PAYMENT ADOPTION

$690K

SAVINGS IN CHECK PRINTING, MAILING, & BANKING FEES

Challenge

Most Dental Plans already understand the benefits of paying claims electronically, rather than mailing paper checks. Electronic payments:

  • eliminate a long list of printing, mailing, and banking fees
  • allow Plans to pay claims more quickly and securely
  • offer Dental Providers more convenience and flexibility

But there is a catch. Dental Plans can’t take advantage of these benefits until they can convince dental offices to choose electronic payments over traditional checks. This “adoption dilemma” presents a surprisingly stubborn challenge—as Plans struggle to overcome ingrained processes, long-standing (and often outdated) payment preferences, limited technology, and other barriers that slow or prevent widespread electronic payment adoption.

The Optum Financial Promise

Most Dental Plans already understand the benefits of paying claims electronically, rather than mailing paper checks. Electronic payments:

  • eliminate a long list of printing, mailing, and banking fees
  • allow Plans to pay claims more quickly and securely
  • offer Dental Providers more convenience and flexibility

But there is a catch. Dental Plans can’t take advantage of these benefits until they can convince dental offices to choose electronic payments over traditional checks. This “adoption dilemma” presents a surprisingly stubborn challenge—as Plans struggle to overcome ingrained processes, long-standing (and often outdated) payment preferences, limited technology, and other barriers that slow or prevent widespread electronic payment adoption.

Solution

Recognizing an opportunity 

One large national dental plan provider with more than $100M in annual revenue spent years struggling with these electronic payment adoption challenges. They fully recognized the potential advantages and cost savings of replacing checks with electronic payments. 

Breaking the gridlock with Optum Financial 

To break through this stubborn adoption gridlock, the Plan turned to Optum Financial, which offered them a proven, guaranteed approach for boosting their electronic payment adoption rates with their payment solution.

Experiencing fast, dramatic results

The Plan signed an agreement with Optum Financial in September of 2015, and in early January of 2016, Optum Financial began processing all of their non-par (out of network) payments. 

Almost immediately, more than 60% of their printed check payments converted to Virtual Card electronic payments – and an additional 1.5% converted to EFT payments.

Based on these impressive results, the carrier quickly expanded the program to include its par (in network) providers—and saw similar increases in e-payment conversion rates. Today, Optum Financial processes more than 600,000 payments a year for the organization. More than 60% of those payments are now Virtual Card or EFT transactions and remain consistent.

This rapid shift to electronic payments is saving the company more than $690,000 a year in check printing, mailing, banking, and treasury fees.

In addition, the Plan has tapped into all the other advantages of a Optum Financial Total Payment solution—from providing dentists with faster, more secure payment options to world-class support, a single system of record for all financial, claim and delivery data, easy implementation and integration with existing systems, and much more.

The Optum Financial Secret

1:1 Preferencing Optum Financial uses a proven and unique 1-to-1 preferencing model to drive significantly higher rates of electronic payment adoption than other approaches

Download Case Study PDF

Find out how the Optum Financial payment solution can make a difference for you