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.
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
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
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.
Validated by Experian Data Quality
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.
AI Advantage helped Schneck achieve a 4.6% average monthly decrease in denials in the first six months.
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A recent Experian Health survey among healthcare executives found that 72 percent said reducing denials was their highest priority.