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Accelerating Overpayment Adjudication with a Credit-Balance Resolution Model
Points of Light 2026 Case Study 15
After restructuring their billing workflows, Healthcare Organization 15 saw a surge in hospital billing credit balances that resulted in a backlog. This backlog threatened compliance with the organization’s credit-balance policy and caused administrative burden for Payer Organization 15. This case study looks at how TREND Health Partners worked with the organizations to implement a credit-balance resolution model that streamlined overpayment processing and helped the healthcare organization save hundreds of thousands of dollars while remaining compliant with their credit-balance policy.
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2026 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.