Key Impacts

$4.5M+ in Write-Offs Addressed: Enrollment-related denial backlog traced, owned, and worked through a dedicated case management team

10,000–15,000 Claims: Routed to enrollment for denial review — backlog cleared through structured triage and InCredibly® automation

2,400+ Providers Managed: Across 200+ active locations, 15+ owned group entities, and $2B+ in net patient revenue — run as a single governed operation

~500-Day Average Claim Age: In the denial work queue before Neolytix deployed a dedicated case management team and InCredibly®

Objective:

A $2B+ health system spanning 2,400 providers, 200+ locations, and 15 owned group entities was running provider enrollment without productivity measurement, cross-team governance, or workflow automation. The legacy platform stored files and status updates but had no connection to the practice management system, forcing double data entry, generating inbox overload, and leaving 10,000–15,000 claims in an unworked denial queue averaging approximately 500 days in age. Provider documentation routinely arrived 90–120 days after start date, already past the 90-day enrollment target, and $4.5M+ had been written off to enrollment-related denials. Neolytix deployed a three-phase engagement: diagnosing root causes across governance, technology, and performance measurement; stabilizing operations through a dedicated case management team with department-level KPIs and escalation paths; and scaling enrollment on InCredibly®, its Provider Data Intelligence and Management Platform, providing real-time payer-level status tracking, automated 90/60/30-day expiration alerts, a provider self-service portal, and a single reporting layer replacing the daily status email. The result was enrollment running as a single measured, cross-departmentally visible operation, with InCredibly® in place of a patchwork of spreadsheets and status emails. 

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