Reduce denials with automated claims management

Processing claims is one of the top contributors to “wasted” healthcare dollars in the U.S. In a recent Experian Health study, 42% of industry respondents said they’ve seen denials increase in the past year, and nearly 75% of them said reducing denials is their highest priority. (Report: The State of Claims 2022)

See how our integrated products work together to automate your claims workflows and improve your healthcare claims management process.

  • Accurately and quickly submit clean claims for reimbursement
  • Decrease manual work through automation
  • Eliminate costly, time-consuming rework

ClaimSource®

Manage your entire claims cycle in a single online application.

Enhanced Claim Status

Accelerate claims follow-up by receiving an accurate adjudication status within 24–72 hours.

Denial Workflow Manager

Automate your denials process to maximize reimbursements and increase cash flows.

Community Medical Centers

Brandon Burnett, VP, Revenue Cycle at Community Medical Centers, shares how their organization partnered with Experian Health to implement AI Advantage, which uses artificial intelligence to prevent and triage claim denials.

Summit Medical Group Oregon - BMC

How this central Oregon group worked used Enhanced Claim Status to decrease denials and achieve a 92% primary clean claims rate.

The State of Claims 2022

Latest survey results from 200 executive healthcare professionals to shed light on the current claims environment.

  • The top 3 reasons for claims denials increasing between 10-15%
  • Where organizations turn to for claims automation solutions
  • How claims ROI (return on investment) is determined across respondents
Download the report

Check out our summary of key findings from The State of Claims 2022 report.

Black Book™ 2022 top client-rated financial solution

Hospital claims management systems

216M +

Annual claims processed in 2021

1900+

Payer connections

Summit Medical Group Oregon - BMC

Read how this multispecialty health group reduced accounts receivable days by 15%.

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Hattiesburg Clinic

Read how Mississippi’s largest multispecialty clinic manages their entire claims cycle within ClaimSource.

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Claims management resources

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Experian Health earns highest KLAS ranking in claims management

As the healthcare industry grapples with labor shortages, rising costs and increasingly denied claims, effective revenue cycle solutions that improve accuracy and efficiencies are more paramount than ever.

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Medicare MBI: COVID-19 and Medicare claims

The healthcare industry has moved away from Medicare identifiers based on SSNs to MBIs. See what this change means for you.

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4 ways to use AI and automation in your revenue cycle

Artificial Intelligence (AI) and automation are the latest buzzwords in business innovation. But what do they mean, and how can they help your organization?

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5 benefits of automating healthcare claims management

Almost 3 in 4 providers stated that reducing claim denials takes precedence over other priorities. Read how automated claims management is allowing them to efficiently reduce denials.

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