AI Advantage™

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

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.