Automate clean claim submissions

ClaimSource is our award-winning, automated claims management system that makes the claims editing and submission process more effective and efficient.

  • Enables providers to import claims files for processing
  • Performs customizable edits and error checking before submission
  • Formats outbound claims
  • Submits claims to payers

Dedicated service teams support our ClaimSource clients for a holistic experience.

Increase your clean claim submission rate and accelerate reimbursements.

Black Book™ '24 top client-rated - Denial & Claims Management Outsourcing, Health Systems

#1 Best in KLAS 2024 Claims Management and Clearinghouse

Hear from our clients

Community Medical Centers

Brandon Burnett, VP, Revenue Cycle at Community Medical Centers, shares how their organization took their long-time ClaimSource usage to the next level with AI Advantage™ to further inform denial prevention and to triage claim denials.

Indiana University Health processed $632 million in claims transmissions in one week after halt to operations

Case study

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.

EMR relationships

We maintain strong, working relationships with leading EMR technology vendors to drive strategic alignment.

All-in-one

Custom edits, remits, integrations, actionable analytics, and a dedicated support team come as part of the ClaimSource solution.

Frequently Asked Questions (FAQs)

Think of it like this—imagine a healthcare claims management process that runs on autopilot. Our system automates tasks like eligibility verification and coding, freeing you up to focus on what matters most—patient care. Plus, fewer errors mean faster reimbursements and a healthier bottom line for your practice.

The system is incredibly flexible. Whether you're dealing with hospital bills, doctor's visits, or even complex pharmacy claims, Experian can handle it all. Accurate data capture and proper coding ensure your claims are processed efficiently, leading to quicker reimbursements.

Absolutely! Gain real-time visibility into your claims with our system. You can easily track claim status updates, identify potential issues proactively, and manage any necessary follow-up actions. This level of transparency empowers your team to stay on top of claims, prioritize tasks, and ensure timely resolution for both you and your patients.

Our system integrates seamlessly with your existing practice management software (PMS) and electronic health records (EHR). This eliminates duplicate data entry, reduces errors, and keeps your entire revenue cycle running smoothly.

We offer comprehensive support options, including live training, webinars, and dedicated support representatives. Our team is here to ensure you get the most out of your system and maximize your revenue cycle performance.

ClaimSource in action

Shorter AR days. Accelerated cash flow. See how our web-based solution automates for efficiency and boosts your bottom line.

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Learn more about our claims-related AI offerings

Introducing AI Advantage™

AI Advantage solution image

 

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.

Related products

Explore other Experian Health products that integrate with ClaimSource.

Enhanced Claim Status

Accelerate your revenue cycle by receiving an accurate adjudication status of a claim within 24–72 hours.

Denial Workflow Manager

See how provider organizations can automate their denials process to maximize reimbursements and decrease AR days.

Insurance Eligibility Verification

Confirm insurance coverage in real time.

Contract Manager and Contract Analysis

Learn how proposed contracts with payers will affect your revenue—before you sign.

Contact our team

If you would like to talk to a representative immediately, please call us at

1 888 661 5657

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