ClaimSource®
Automated, scalable claims management system designed to reduce denials, increase revenues, and help you manage your entire claims cycle in a single application.
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.
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.
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.
The State of Claims 2024
Experian Health surveyed 210 healthcare professionals responsible for claims management, assessed the extent of denied claims, the causes, and the efforts to mitigate denials.
Claims technology as a game-changer for efficiency
Claims denials are a thorn in the side of any healthcare organization. Even with claims denial mitigation tools and processes in place, denials are growing.
Case study: How IU Health processed $632 million in claims transmissions in one week with ClaimSource
“As the IU Health Revenue Cycle team rallied to respond to the claims processing disruption, we were uniquely positioned with our long-time Experian partnership to quickly re-institute critical claims routines and restore a significant volume of claims transmissions.”
– Bryan Daniels, Vice President Revenue Cycle Solutions, IU Health