ClaimSource®
Automated, scalable claims management system designed to reduce denials, increase revenues, and help you manage your entire claims cycle in a single application.
Learn more about ClaimSourceAutomate clean claim submissions
According to our 2022 State of Claims survey, 47% of providers said that improving clean claims rates was one of their top pain points, with 42% reporting that denials have increased in the past year.
With ClaimSource’s automated claims management system, you can make sure your hospital and physician claims are clean before you submit to a government or commercial payer.
Lower denial rates
Clients average 4% of claims denied compared to 10%+ industry average.
Analysis and prioritization
Analyze claims, payer compliance, insurance eligibility, and patient demographics to automatically prioritize your workload and focus on high-impact accounts.
Entire claims cycle, one application
Manage your claims cycle more efficiently from a single web application.
Enhanced integration
Interface with major HIS and PMS systems and integrate with our Enhanced Claim Status, Denial Workflow Manager, and Eligibility and Contract Manager solutions.
ClaimSource in action
Shorter AR days. Accelerated cash flow. See how our web-based solution automates for efficiency and boosts your bottom line.
Download product sheet
ClaimSource clients can enhance your claims management efforts with two AI-based offerings that operate at two distinct moments in the claims process: before claim submission and after claim denial.
Using your own historical claims data and Experian’s knowledge of payer rules, these offerings continuously learn and adapt to an ever-changing payer rules landscape.
AI Advantage™ – Predictive Denials
- Reduce denial rate. Detect payer changes. Empower your team.
AI Advantage™ – Denial Triage
- Prioritize for impact. Eliminate guesswork. Increase revenue.
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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Understanding and optimizing the claims adjudication process can increase the likelihood of being paid in full. Here’s what you should know.
7 reasons for claims errors and how to avoid them
Many types of claim errors can lead to denials and slow your revenue cycles. Here are some of the most common ones to look out for.