Case Studies

Explore real-world examples of how AdminaHealth’s innovative benefits billing and payments solutions are driving tangible improvements and delivering exceptional results for our clients.

Immediate ROI

As clients clear source data of errors discovered during implementation of the AdminaHealth Billing Suite, it is common for them to realize positive ROI covering the first years’ platform costs or more. Clients experience additional direct and indirect cost savings through the ongoing monthly reconciliation process.
Savings
TOTAL SAVINGS:

$91,476

During the implementation process, AdminaHealth discovered that 198 plan participants out of 1,037 total participants at a Food Services company were enrolled in a PPO and HMO dental plan from two separate carriers. They negotiated back $24,948 in adjustments. With eight months left on the plan year, uncaught, it would have cost the company an additional $66,528.
ANNUAL SAVINGS
BY CATCHING THIS ERROR:

$420,000

During implementation for an engineering firm with 890 plan participants, AdminaHealth discovered the “buy up” and “base” premiums had been switched by the previous broker. The enrollees were enrolled correctly and were being charged correctly in Enrollment, but the carrier was charging incorrectly on the invoices. It resulted in the client getting a credit of $35,000/ month for the four months it had been charged incorrectly, amounting to $140,000. Had it not been caught, it would have cost the company $420,000 in overpayments for the year.
ANNUAL SAVINGS
BY CATCHING THIS ERROR:

$236,274

While onboarding a medical provider association with 1,757 plan participants spread across 120 locations, AdminaHealth discovered the previous billing provider billed incorrect premium rates for medical coverages, did not bill for spouse and child voluntary life coverages, and did not account at all for pro-rated coverage effective dates. This caused a $39,379 overpayment over a two-month period, with a potential $236,274 annual expense leakage.

TOTAL SAVINGS:

$43,662

Over seven months, AdminaHealth identified multiple termed healthcare enrollments that were still active, and hundreds of active enrollments with missing rates, totaling over $43,000 in savings for a transportation client with 800 plan participants spread across five companies, seven divisions, and 40 departments.

AVERAGE YEARLY SAVINGS:

$185,940

During implementation, AdminaHealth found that a wound care and healing company with 790 benefit-eligible enrollees had been paying vendors as far back as December 2021 for terminated enrollees. They were also paying an extra $2,495 a month in premiums for Active employees who had previously waived coverage. The year-to-date findings were $69,000 in premium leakage, with an average of $15,495 monthly.

ONGOING ADJUSTMENTS
BACK TO THE COMPANY:

$56,871

Over eight months, AdminaHealth uncovered a healthcare services organization with 837 plan participants was being billed for medical premiums of 115 employees who had termed or waived coverage.

TOTAL SAVINGS:

$71,085

Between April 2022 and August 2023, AdminaHealth helped a manufacturing company with 261 plan participants across 16 divisions identify over $71,085 in incorrect charges due to employee changes and incorrect rates.

ANNUAL SAVINGS
BY CATCHING THIS ERROR:

$98,340

During implementation for a large university with 2,800 plan participants, AdminaHealth discovered they were being charged $8,195/month for 141 employees who were grandfathered on a term life insurance plan for which they should have been direct billed. If not caught, this would have cost the university $98,340 for the year.

ANNUAL SAVINGS
BY CATCHING THIS ERROR:

$120,000

Using the AdminaHealth Billing Suite allowed an automotive management company with 6,903 employees across 148 locations to save substantial time and money. Before AdminaHealth, reconciling and putting together reports manually took the client three weeks, and now takes only three hours. Dollar savings included ~$10,000/month.

How much time and money will YOU save?

Case Study PDF Downloads

CASE STUDY:

Resolving Billing Discrepancies & Maximizing Efficiency

Discover how AdminaHealth’s Billing Suite revolutionized benefits billing administration for a PEO.

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CASE STUDY:

From Chaos to Control: A Case Study in Benefits Billing Optimization

How AdminaHealth solved a semiconductor company’s benefits challenges.

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CASE STUDY:

Multi-Group Organization; One Payment

How partnering with AdminaHealth helped one company implement smooth monthly benefits administration for their organization’s 300+ member groups.

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CASE STUDY:

Smooth Transition from a PEO

How partnering with AdminaHealth was instrumental in helping one company exit its PEO.

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Save time & hassle. Save money. Ensure employees are appropriately covered.