Experian Health Revenue Cycle Management

What Experian Health Revenue Cycle Management is

Experian Health Revenue Cycle Management is a set of automated solutions for healthcare billing and payment workflows. Its stated aims include improving registration accuracy, reducing billing errors, preventing denials, and limiting rework, appeals, and collection effort. The portfolio covers patient access, healthcare claims management, patient pay collections, and payer contract management. Claims scrubbing checks for coding issues and payer-specific requirements before submission. Patient Access Curator uses AI-driven insights to find front-end data accuracy problems earlier in the revenue cycle. The solutions connect to existing EMRs through targeted integration points and support secure, two-way data exchange. Experian Health says workflows are updated for Medicare, Medicaid, and commercial payer rules, with compliance checks built in. The portfolio includes eligibility verification, denial management, payment posting, coding support, patient payments, claim scrubbing, and ERA auto-posting. Experian Health reports 1,796 direct payer connections. Client support is available through in-app modules, a customer community, phone, and live chat; implementation is coordinated by a consultant or project manager. Pricing is available on request, and the platform is web-based.