Artificial intelligence depends on a large amount of precise information to analyze and predict. Adoption of AI innovation engaged the healthcare systems to pinpoint the reasons behind denied claims and reveal the denial trends. Analytics of claims denials empowers medical billing companies to predict denials and resolve them before submitting the claims that help in lowering the denial rate and improve the revenue. AI distinguishes erroneous claims with the help of claims life cycle Based on this distinguish, the latest revenue cycle management strategy are applied for faster payments.

Artificial intelligence has been significant for revenue cycle context in dealing with insurance eligibility verification; denial management and AR follow up process. By utilizing AI, claims denial can be recognized earlier with pre-submission features that help with addressing authorization problems. AI can play a major role in insurance eligibility verification. Key use case of AI is improving the speed at health plans and providers can verify insurance eligibility and benefits. it further helps the healthcare providers in minimizing the denial percentance and assist in faster and increased reimbursement.

Prior authorizations are one of the difficult procedures in the healthcare revenue cycle. The front end revenue cycle is ready for automation. For instance, Patient eligibility verification guarantees providers having current data regarding patient insurance details such as

• Patient name, phone number
• claims address
• Insurance ID
• Insurance group number
• Name of insured, as it isn't always the patient
• Relationship of the insured to the patient
• The effective date of the policy
• End date for the policy
• Ensure whether coverage is currently active
• Ensure whether the insurance covers the services to be provided
• The amount of the patient's copay and deductible
• Ensure whether the insurance company requires  pre-authorization certificate of medical necessity for reimbursement

Through automation, the above information is automatically pulled from the system and that eliminates the manual errors. As health plans evolve their organizations to keep steady on top of a quickly developing innovation, they are presented with numerous chances to improve the revenue. AI allows the healthcare providers for insurance eligibility verification that minimizes call times, enhance satisfaction and also improves accuracy and proficiency in claims processing.

About e-care India

Ecare India is one of the best revenue cycle management companies in India. Our company is HIPAA compliant and twin ISO certified medical billing company in India. We have 20 years of experience in medical billing and coding services. We provide end to end medical billing services that include charge entry services, Payment posting, insurance eligibility verification, denial management, account receivable management, revenue cycle management., etc. To learn more about our medical billing services, log onto our website: www.ecareindia.com. Reach us today to schedule your appointment to become our business partner.