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.
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.
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.
Claims continuity during a cyber event
A new resilience capability for ClaimSource
Maintain claims continuity and protect cash flow during a cyber event with an isolated recovery environment that enables claims submission and payment processing within five business days.
ClaimSource clients can enhance 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.