Denials Management

Denials management solutions to improve cash flow

Learn how Schneck Medical Center gained visibility into their denials in real time and can now proactively prevent denials. 

Are denied, suspended, pending or lost claims impeding your financial performance?

We know that denials management can often be manual and time consuming, ultimately leading to disappointing results.

With the right denial analysis and automation, healthcare organizations like yours can manage denials effectively and increase reimbursements significantly.

Denials Workflow Manager integrates the power of workflow, enhanced claim status, remittance detail, and analytics to optimize follow-up activities. You can identify denials, holds, suspends, zero pays, as well as appeals won or lost with payers through a combination of Electronic Remittance Advice (ERA) and enhanced claim status transactions. 

Optimize claims follow-up by identifying and targeting the claims that need attention as quickly as possible.

Ready to lower denial rates?

Rocky Mountain Cancer Centers

Learn how they decreased denial rates and realized a $1 million return on investment.

Improving business performance with denials management software

Is your organization looking to increase cash flow, spend less time manually working denials, or decrease your AR days? Denials Management Workflow is here to help.

Maximize reimbursements

Quickly identify denied claims that can be resubmitted and/or appealed.

Automate denials process

Eliminate the need for manual review of claims status and remittance advices.

Denials best practices

Standardize activity and root cause templates by denial types.

Identify trends

Determine root causes for denials to inform improved procedures.

Analysis and reporting

Extensive data analysis and reporting capabilities, allowing you to prevent denials in upstream processes.

Download product sheet

Summit Medical Group Oregon

Learn how they decreased denials to achieve a 92% primary clean claim rate.

Denials Workflow Manager product features

Standalone or integrated

Can be used as standalone product, or integrated with Experian ClaimSource to align claims and denials information on the same screens.

Customizable

Work lists generated based on client specifications, such as denial category and dollar amount.

Analytics

Access standard product reports, analytics reports, and forward responses to HIS/PMS systems.

ANSI reason codes

Provides ANSI reason codes and payer proprietary codes as well as descriptions.

Looking for more resources on reducing denials?

Check out our blog!

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How to prevent and manage claim denials

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Reduce the time it takes to get claims paid

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How to increase clean claims and reimbursement rates

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