Case Study: efficientC cuts hospital claim denials 40% with Sisense-powered Insights
Key results
The challenge
efficientC helps healthcare providers reduce revenue loss from unpaid insurance claims. Its previous analytics solution was inefficient, did not scale well, and saw low dashboard adoption among customers. The company aimed to help providers raise First Pass Yield rates from the 75-80% range toward 90-95%.
The solution
efficientC rebuilt its analytics product, Insights, on Sisense, delivering interactive dashboards that track revenue-cycle payment trends and KPIs. The new dashboards became part of customers' daily workflow for monitoring claims and denials.
“Our dashboards are now used every day by most end-users.”
LZLori ZindlCEO and Founder, efficientC
The results, in context
efficientC reports that 95% of customers' claims are paid within 20 days or less and that customers see a 15% average cash-flow improvement, with claim denials down roughly 40% within 60 days of implementation. Report generation dropped from about 20 minutes to 5-10 seconds. Figures are quoted from the public Sisense case-study page; the page does not display an explicit publish date.