AI-Powered Solutions to Conquer Claim Denials
Streamline your claim management process, optimize revenue capture, and enhance operational efficiency with Highbound Health’s advanced AI tools. Our denial management target is simple: handle as many denials as possible without intervention from your team, from denial to remediation.
With every denial that we handle, our engine gets smarter, faster, and more powerful. Ultimately, our goal is a hands-off approach for 85% of denials, and a 75% faster handling of the ones that do require a specialist to interact with them.
For Practices
Struggling to keep up with claim denials for your Practice? Highbound Health’s AI solution reduces claim denials and optimizes your Practice’s operations.
Registration errors: Incorrect insurance details or data entry mistakes.
Medical necessity: Procedure code isn’t supported by the diagnosis.
Pre-authorization: Payer didn’t grant authorization to preform the service.
Common causes for denials
Our Solution Works
46%
decrease in denials related to pre-authorization
340%
increase in prior authentication speed
$478k
decrease in auth- and eligibility- related denials
For Clinics
Need to maximize revenue by reducing claim denials and overhead cost? Highbound Health’s advanced AI solutions can tackle claim denials and enhance operational efficiency at scale.
Common causes for denials
Timely filing: Claim wasn’t submitted to the payer within the required time frame.
Duplication: Claim has been submitted more than once.
Additional information: Payer requires extra information from provider or patient to process the claim.
Coding: Service was not coded in accordance with the payer’s rules, or a combination of codes was used that the payer does not accept.
Our AI Drives Impactful Results
33%
improvement in denial workflow productivity
70%
decrease in time spent per claim status follow-up task
$1.1m
revenue improvement due to more timely filing