Claims denials extend time to payment and reduce cash on hand by an average of 28%.
Apprio can help.
Our Intelligent Denial Prevention solution predicts claim denials prior to submission, so your claims team can address concerns and reduce payment delays.
Providers spend more than $40B a year fighting claims denials. The process involves as many as four rounds of administrative efforts that take 4 months to 6 months. Fixing potentially problematic claims before submission saves time and money.
Apprio IDP combines sophisticated automation, machine learning, and AI to streamline your claims process.
These advanced tools analyze current and past denials to identify root causes and payer behavior. Apprio IDP then applies proven automation solutions to address known or routine issues leading to claims denials.
This alone significantly reduces claims denial rates.
Apprio IDP’s AI processes continue mining claims data for additional denial causes and payer policy changes, continuously updating the process as needed.
of all medical claims are denied by payers.
of all denied claims are preventable.
amount providers spend per year challenging denied claims.
of denied claims are not resubmitted or appealed by providers.
of initially denied claims are ultimately overturned.
in claims are denied annually.
For a free assessment of your claims denials, connect with our revenue cycle and automation experts.