Tag: claim denials

Claim denial rates remain high – and in some cases, they’re rising. Experian Health’s latest Denial Management survey found that over the past 12 months, 25% of healthcare providers reported increased denial rates, while 42% saw no meaningful change.

By automating multiple patient registration checks in a single workflow with Patient Access Curator, MetroHealth cut denials by 44%, reduced rework and downstream costs, and gave staff more time to focus on higher-value tasks.

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.

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.

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.

Denial management is the process of addressing why healthcare claims are rejected or denied, instead of resolving them after they occur. This article explores denial management strategies, why outdated processes fail and how AI-driven solutions can help reduce denials and streamline workflows.

Top reasons for healthcare claim denials include missing or inaccurate data, lack of prior authorizations, and incomplete patient registration.

AI is reshaping patient access by reducing manual errors and preventing costly claim denials. Tools driven by AI and automation can streamline eligibility checks and coordination of benefits — helping providers improve efficiency, cut costs, and deliver a better patient experience.

Denied claims are rising fast, putting revenue and patient trust at risk. Automated claims management and AI-enabled tools are becoming essential for providers to reduce denials, accelerate reimbursements and improve operational efficiency.