All posts by Clarissa Riggins

Healthcare providers are facing a perfect storm of operational challenges—rising claim denials, increasing data errors, and persistent staffing shortages—all of which are straining revenue cycles and threatening financial stability. Experian Health’s 3rd Annual State of Claims Survey reveals that these issues are not only ongoing but intensifying. The survey found that 41% of providers now report denial rates of 10% or higher, a troubling trend that has worsened each year since 2022. The root causes remain consistent: missing or inaccurate data (50%), authorization issues (35%), and flawed patient registration data (32%). These errors are not just administrative—they directly impact cash flow and patient care. To view more of the findings, download our report here. While challenges continue, what we are excited about is the growing optimism around artificial intelligence (AI) as a solution. 67% of providers believe AI can improve the claims process, and 62% say they are well-versed in AI and automation—a dramatic increase from just 28% in 2024. Among those who have adopted AI, the results are promising: 69% report reduced denials and improved resubmission success. Experian Health’s own Patient Access Curator is one such tool, leveraging AI to streamline front-end data collection, eligibility verification, and insurance discovery in real time. The data is clear: the status quo is unsustainable. Providers must embrace technology not as a future possibility, but as a present necessity. AI is no longer theoretical—it’s a proven tool that can help break the cycle of denials, delays, and data errors. Experian Health is committed to helping providers navigate this transition with solutions like AI Advantage and Patient Access Curator, designed to simplify workflows and improve outcomes. For more information about our revenue cycle products, visit http://www.Experian.com/health.