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.
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
- 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.
[Webinar] Claims Management of the Future. Today.
Hear from Community Regional Medical (Fresno) and Schneck Medical Center on the value of using AI in claims management.
Press release
New AI-Powered Products From Experian® Health Will Help Healthcare Providers Recoup the Billions in Lost Dollars Due to Insurance Claim Denials
Prevent claim denials with AI and automation
By leveraging AI and automation, healthcare organizations can improve their claims management processes and prevent claim denials. Here are the 5 benefits of incorporating these digital tools.
Experian Health Gives Providers an “Advantage” in Addressing Claims Denials
A recent Experian Health survey among healthcare executives found that 72 percent said reducing denials was their highest priority.