Experian Health is a leading provider of data-driven solutions for the healthcare industry, serving over 3,000 hospitals and 7,000 other healthcare organizations, representing more than 500,000 providers. Founded in 1994, the company is recognized as a Software-as-a-Service (SaaS) pioneer in the health IT space.
The platform's core offerings are segmented into Revenue Cycle Management, Identity Management, Patient Engagement, Data & Analytics, and Regulatory Solutions. A key focus is on leveraging artificial intelligence (AI) and machine learning (ML) to solve complex administrative problems, such as claim denials.
Key Capabilities and Value Proposition:
- Revenue Cycle Optimization: Solutions like the AI-powered Patient Access Curator™ prevent claim denials in real-time at registration by verifying and correcting data across eligibility, insurance discovery, and demographics with a single automated inquiry. Other tools, such as Denials Workflow Manager and Claim Scrubber, further streamline the claims process and collections.
- Patient Access and Engagement: The platform simplifies the patient journey with tools for online scheduling (Patient Schedule), real-time insurance eligibility verification, and Patient Estimates for price transparency, helping providers comply with regulations like the Hospital Price Transparency Rule and the No Surprises Act.
- Data & Analytics: Power Reporting provides intuitive dashboards for continuous revenue stream analysis, and Power Data™ automates the delivery of raw data to an organization's enterprise data warehouse.
- Identity Management: Solutions focus on unique patient identification and identity verification to protect patient data and improve record accuracy.
The system is designed for high-degree integration with existing Electronic Health Record (EHR) and Practice Management (PM) systems, reducing the administrative burden on staff and enhancing the patient financial experience.
