An RCM firm improved claim status processes for a 1,000+ bed southeast health system by increasing successful responses by 25%, enabling touchless transactions through extended X12 data and AI-driven corrections, and refocusing labor on high-value claim denials.
Claim Status
A radiology firm achieved 90% call avoidance and 7,204 successful claim status responses out of 7,500 by using AI to correct data inaccuracies, leveraging API connectivity for faster claim processing, and improving efficiency through auto-suggestions.
A radiology firm used AI and an Anthem API to resolve 5,219 of 5,300 claims, achieving 88% call avoidance and improving denial management.