Change Healthcare: AI Could Identify Up to 35% of Denials Prior to Submission

Change Healthcare AI can help providers identify problem claims and prevent denials before they happen, avoiding costly rework, delays, and improving revenue flow. Today Change Healthcare announced that it has applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI, providers of any size can now proactively identify problem claims that could result in denials, and remediate potential issues before the claims are filed. The AI infused in these applications can now help customers predict denials, optimize claims submissions, and provide actionable recommendations that enable providers to better mitigate denials before a claim is submitted. Change Healthcare's analysis of 2018 data spanning more than 500 million service lines showed that Change Healthcare Claims Lifecycle AI could identify and flag up to 35% of denials prior to submission.