ID Labs, a diagnostic laboratory, started working with MedCare MSO in April 2024 after struggling with credentialing problems that were costing them money and creating major operational headaches.
We fixed their credentialing process, got their providers properly enrolled with insurance networks, and set up electronic payment systems. The results? ID Labs recovered significant lost revenue and now runs much more efficiently.
AR Days
Monthly Collections
ID Labs had a credentialing mess on its hands. Their providers weren’t properly enrolled with insurance companies, which meant claims were getting denied left and right. Even though they were doing good work and seeing plenty of patients, they couldn’t get paid because the paperwork side of things was broken.
The biggest headache was with United Healthcare. ID Labs had providers who weren’t properly credentialed, so when they submitted claims, UHC would reject them. The provider information in insurance databases was either wrong or missing completely.
Nobody at ID Labs knew where things stood with credentialing. There was no system tracking renewal dates or application status. They’d find out about problems only after a provider got deactivated and claims started bouncing back.
Here’s where it got really bad: ID Labs wasn’t set up for direct deposit. Insurance companies were mailing paper checks, and those checks were constantly getting lost, delayed, or sent to the wrong address. Trying to figure out which claims had actually been paid was extremely difficult.
Getting set up for electronic claim submission was a disaster. The EDI enrollment had errors that caused claims to fail during transmission. And when they tried to check claim status through insurance portals, they’d run into access issues.
When ID Labs came to us in 2024, we could see the credentialing problems were choking their revenue. We put together a plan to fix everything systematically – clean up their provider records, get everyone properly credentialed, set up electronic systems, and create a tracking process so nothing would fall through the cracks again.
First thing we did was go through every provider’s credentialing status with a fine-tooth comb. We corrected all the inaccurate information in insurance databases and portals, then worked directly with payers to get everything updated properly.
The UHC situation was costing ID Labs serious money. We tackled it head-on and got their credentialing straightened out. This freed up 3,685 stuck claims worth $610,910. Once credentialing was fixed, the AR team recovered $347,050 from UHC. We also got toxicology services added to their contract, which opened up new revenue opportunities.
We got their electronic systems working properly. Fixed the EDI enrollment errors so claims could transmit without problems, and set up EFT so payments come straight to their bank account instead of through the mail.
We set up a system to make sure revalidations never get missed again. Every renewal date is tracked, applications go out ahead of deadlines, and we monitor everything to prevent the deactivations that were happening before.
The partnership between ID Labs and MedCare MSO delivered exceptional credentialing transformation and financial recovery. ID Labs recovered $347,050 in stuck UHC revenue, and eliminated the credentialing bottlenecks that had been preventing proper claim payments and revenue growth.
| Metric | Before MedCare MSO | After Implementation | Impact |
|---|---|---|---|
| Monthly Collections | $280,000 | $420,000 | 50% Increase |
| Days in A/R | 32 days | 9 days | 72% Reduction |
| Denial Rate (Credentialing) | 28% | 9% | 68% Reduction |
| Provider Networks Active | 4 | 8 | 4 Networks Added |
| Credentialing Time | 20 hours/week | 3 hours/week | 85% Reduction |
| UHC Revenue Recovery | $0 (Stuck) | $347,050 | 3,685 Claims Resolved |
| EFT Adoption | 0% | 70% | Complete Automation |
| Payment Tracking | Paper Checks (Lost) | Direct Deposit | 100% Visibility |
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Oracle Health (formerly Cerner) positions Millennium as a whole enterprise electronic health record (EHR) spanning inpatient and ambulatory care.
Clinical documentation and orders (PowerChart/PowerPlans), e-prescribing, interoperability via FHIR/HL7 APIs, patient portal and analytics, plus integrated revenue cycle (RevElate/Patient Accounting).
Both are end-to-end EHR + RCM platforms. Cerner highlights PowerChart/HealtheLife/HealtheIntent and RevElate; Epic offers comparable modules (e.g., MyChart/Healthy Planet/Resolute). Choice typically depends on org size, workflow fit, and ecosystem.
Rebranded to Oracle Health, moved Millennium toward Oracle Cloud, expanded RevElate Patient Accounting, and introduced AI/voice tools like the Oracle Clinical Digital Assistant.
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