Claims & Contract Management

Improve financial performance with automated, clean and data-driven medical claims management.

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When it comes to medical coding and billing, accuracy is everything. Even the smallest error can result in a claim being bounced back by...

October 6, 2022 by Experian Health

Automated claims processing could solve one of the biggest challenges currently facing healthcare providers: maximizing reimbursements by minimizing denied claims. Denials have been steadily...

September 22, 2022 by Experian Health

“Is this claim valid? How much is our financial responsibility?” These are the two big questions payers want to answer when adjudicating healthcare claims....

August 15, 2022 by Experian Health

With millions of healthcare claims to process and millions of dollars at stake each month, getting claims right the first time is a top...

August 2, 2022 by Experian Health

The repercussions of errors on the healthcare claims processing workflow can be major and wide-ranging. It slows the revenue cycle, interrupts cash flow, consumes...

July 20, 2022 by Experian Health

The payer policy rollercoaster has taken a few twists and turns recently, leaving healthcare organizations out of the loop if they try to keep...

May 25, 2022 by Experian Health

Navigating an increasingly complex reimbursement landscape remains challenging for today’s healthcare providers, with too many claims still underpaid, delayed or outright denied. In fact,...

May 2, 2022 by Experian Health

The Appropriate Use Criteria (AUC) program is due to come into full effect in January 2023 at the earliest. The program was established by...

April 11, 2022 by Experian Health

Claims denials are a major source of headaches for healthcare organizations. On average, denied claims can take more than two weeks longer to pay...

January 13, 2022 by Experian Health

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