CLIENT SUCCESS: Sonora Quest Laboratories


About Sonora Quest Laboratories

Sonora Quest Laboratories, a joint venture between Banner Health and Quest Diagnostics (NYSE: DGX), is part of the nation’s largest integrated laboratory system with approximately 3,500 employees serving more than 28,000 patients every day throughout Arizona. Sonora Quest Laboratories is the market share leader in clinical laboratory testing in Arizona, performing more than 85 million diagnostic tests per year. Sonora Quest Laboratories offers a local comprehensive test menu that encompasses routine, molecular, prescription drug monitoring, genetic/genomic, women’s health and pathology testing services. My Lab ReQuest provides consumers direct access to a diverse range of affordable screening tests that can be ordered online at SonoraQuest.com or in any of Sonora Quest’s 75 patient service centers across Arizona. Ninety-five percent of all testing is performed at the primary testing facilities located in Phoenix, Tucson, Flagstaff, Prescott and Yuma. Sonora Quest Laboratories is accredited by the College of American Pathologists (CAP), which is the gold standard in laboratory accreditation, helping laboratories to maintain accuracy of test results and ensure accurate patient diagnosis. This accreditation ensures the highest standard of care for all laboratory patients as CAP inspectors examine laboratory staff.


OPPORTUNITY

Sonora Quest Laboratories, a XIFIN RPM customer, was using a number of traditional methods to capture and validate insurance eligibility and coverage information to maximize reimbursement. However, the laboratory system continued to encounter claims without enough valid in­formation to fill in the missing gaps in insurance coverage data.


Being unable to identify valid insurance coverage for even a small portion of patients causes a loss in revenue collect­ed as well as an increase in operating expenses due to the costs associated with correspondence and other attempts to gather correct coverage information. The Sonora Quest team recognized an opportunity to improve their financial performance by integrating additional insurance discovery capabilities into their revenue cycle management (RCM) process.


SOLUTION

Because the FrontRunner Health Care (FrontRunnerHC) SaaS solution is integrated with XIFIN RPM, Sonora Quest turned to FrontRunnerHC for advanced insurance discovery capabilities. FrontRunner­HC leverages proprietary network connections with access to 2000+ data sources to find, cross-check, and fix patients’ demographic and insurance information, improving the ability for touchless clean claim submission and expediting reimbursement.