For healthcare providers, claim denials are a constant drain on revenue and staff capacity. Jason Considine, President at Experian Health, sees three ways artificial intelligence (AI) can break this cycle: by preventing avoidable errors, prioritizing high-value resubmissions and using data insights to reduce denials over time.
Claim scrubbing technology helps healthcare providers submit clean, accurate claims from the start - improving accuracy, reducing denials and maximizing reimbursements.
Manual workflows were no match for MetroHealth's growing prior authorization demands. Learn how Experian Health’s automated prior authorizations solution helped MetroHealth increase monthly authorizations by 173%, without adding staff.
Experian Health is very pleased to announce that we’ve been recognized as a Consistent High Performer for Contract Management & Analysis Software in the 2025 KLAS report.
Revenue cycle management (RCM) teams are facing a year of major change, with new regulations, tighter margins and the adoption of artificial intelligence (AI) increasing the pressure on workflows. This article outlines Experian Health’s five RCM predictions for 2026, along with tools to consider when building a resilient revenue cycle.
Hospitals that treat Medicaid patients should update their eligibility and billing systems now to prepare for the One Big Beautiful Bill Act (OBBBA), which will bring major changes to Medicaid.
Nearly two-thirds of healthcare providers now use artificial intelligence (AI) in their revenue cycle management (RCM) processes, according to Experian Health’s latest survey. Discover key insights on AI’s evolving role in healthcare, including barriers and top use cases.
Automated prior authorization solutions streamline workflows, simplify management across payer systems and offer advanced features to reduce manual effort — helping providers minimize denials and improve overall efficiency.
Manual insurance eligibility checks are slow, error-prone and a leading cause of claim denials. Find out how automated insurance verification delivers real-time accuracy, fewer billing errors and faster reimbursements — helping providers protect revenue and improve patient care.