Patient Access Curator

One click. One product.

Revolutionize the claims management process

Year after year, one thing stays true in revenue cycle: claim denials continue to confound health systems, physicians, laboratories and pharmacies that depend on consistent cashflow.

In fact, denial rate is the No.1 performance metric by which claims management is measured, say our respondents from our recent State of Claims 2024 survey.

Frustratingly, more than half of denied claims are eventually overturned - but not before providers spend an average of $43.84 reworking each claim. The administrative tug-of-war with payers brings a substantial toll.

The Patient Access Curator streamlines patient access and billing, addressing claim denials, data quality, and real-time corrections to boost your business's bottom line.

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In our recent 2024 State of Claims survey

38%

of respondents acknowledged that 10% or more of claims are denied

46%

say that missing or inaccurate data is one of the top three reasons for denials

To read the full survey, click here.

65%

state that submitting "clean" claims is more challenging than before the pandemic

Benefits you can expect

AI, ML and Robotic Process Automation Integration

Leverages artificial intelligence and machine learning to automate many of the tasks traditionally performed by human staff.

Single-click functionality

With just one click, users can verify and update all necessary patient information, drastically reducing the time and effort required to manage patient records.

Integration with Epic EHR systems

Currently designed to integrate seamlessly with Epic EHR systems, making it an ideal solution for hospitals, health systems, laboratories, physician groups, and other healthcare organizations that use Epic.

Prevent denial problems at the front end, all at once. In seconds.

Experian Health’s most robust revenue cycle solution

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Product features

These elements work together to ensure that patient information is accurate and up-to-date, significantly reducing the likelihood of claim denials.

Eligibility

Automatically verifies patient eligibility and updates records in real-time, ensuring that all necessary information is correct before claims are submitted. It interrogates 271 responses to indicate any secondary or tertiary coverage data.

COB Verification

Identifies and verifies secondary and tertiary insurance coverage, reducing the risk of COB-related denials. It analyzes each payer response in real-time at the point of service and integrates directly into the eligibility verification process using AI technology.

MBI

Continuously updates Medicare Beneficiary Identifiers, ensuring that patient records are accurate and compliant with Medicare requirements. It uses AI, in-memory analytics, and robotic process automation to locate and correct patient identifiers automatically.

Demographics

Corrects and updates patient demographic information using advanced algorithms and in-memory analytics. It is the only tool in the industry with proprietary algorithms that can accurately find and fix contact information.

Coverage Discovery

Identifies and corrects missing or incorrect insurance information, ensuring that claims are submitted with the most accurate data available. It works behind the scenes to minimize the cost of insurance discovery and streamline workflows, often generating additional insurance revenue missed by previous processes and vendors.