Optimize efficiencies in claims management through artificial intelligence

With denials and staffing shortages on the rise, an efficient claims management strategy is essential. Current ClaimSource® users can enhance their claims management toolkit with two new 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 sophisticated knowledge of payer rules, these offerings continuously learn and adapt to an ever-changing payer rules landscape. Our claims experts also provide a high level of ongoing service to support your long-term needs.  

Watch our brief explainer video to learn more about the two AI-based products that make up our AI Advantage offering and how you can transform the reimbursement process, decreasing claim denials for good.

AI Advantage components: predictive denials and denial triage image

Learn more about our two new AI offerings

AI Advantage™ – Predictive Denials

  • Reduce denial rate: Edit claims at high-risk of denial prior to payer submission

  • Detect changes: Keep track of payer rule changes with AI so billers don’t have to

  • Empower employees: Allow staff to focus on highest-priority claims

AI Advantage™ – Denial Triage

  • Prioritize impact: Identify denials with the highest potential for reimbursement

  • Eliminate guesswork: Segment denials via AI so billers don’t have to 

  •  Increase revenue: Accelerate progress towards achieving your revenue goals

Contact our team to get started

AI Advantage™ is available to be implemented via Experian Health’s ClaimSource® claims management system, which was recently ranked #1 by KLAS in the Claims Management and Clearinghouse category for 2023.

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What your organization can expect from AI Advantage

  • Seamless integration: Integrates directly into ClaimSource® and HIS workflows
  • Customizable: Personalize and adjust your prioritization thresholds
  • Ongoing service and support: Experienced claims-specific experts
  • More informed work: Proactively identify claims with high likelihood of denial prior to claim submission
  • Focus on what matters: Billers can now focus on remits that have the most impact to your bottom line

Hear from our customers

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.

Case Study: Schneck Medical Center

AI Advantage helped Schneck achieve a 4.6% average monthly decrease in denials in the first six months.

Hear from our Product leadership



Rob Stucker, SVP Product at Experian Health, explains how AI Advantage - Predictive Denials and Denials Triage utilize artificial intelligence in more detail and how they work together to ensure you get the highest dollar amount recovered.


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