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40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |    40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |    40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |    40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |    40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |    40–60% Dropout Claim Recovery    |    Recover 85% of Rejected Claims Revenue    |    45% Faster Claims Turnaround    |    38% Reduction in Pended Claim Backlog    |    42% Improvement in First Pass Resolution Rates    |    35% Drop in Manual Rework Hour    |    50% Increase in Provider Query Response Speed    |    40% Boost in Claim Data Accuracy    |   

“Newgen’s Claims Repair Solution has changed how we handle pended claims. What used to be a constant backlog is now a manageable, streamlined process. Our turnaround is noticeably faster, our teams spend far less time on rework, and providers are seeing smoother, quicker resolutions.”

VP, Claims Operations, A Leading Health Plan

Learn What Newgen’s Claims Repair Solution Can Do for You

Accelerate Intake with Intelligent Mailroom, Case Assignment, and Enrichment

Simplify correspondence management with AI-driven document management and processing. Assign cases automatically based on expertise and priority, while handling claim rejections. Populate claims and authorization details from core systems to minimize manual effort and enhance accuracy.

Minimize Errors with Duplicate Check, Case Collaborations, and Redirects

Prevent redundancy by detecting duplicates instantly. Collaborate across teams, redirect cases effortlessly, and maintain a single, unified view for complex claim investigations.

Gain Control with Detailed Reporting and Analytics

Identify bottlenecks by generating detailed productivity and compliance reports. Track every claim with a comprehensive dashboard, offering periodic updates. Leverage AI-powered insights from past decisions to deliver consistent outcomes.

optimized-process

Streamline Claims Recovery with End-to-end Automation

Capture pended/dropout claims automatically from your adjudication engine. Categorize errors by denial reason, batch similar claims for efficient bulk resolution, and route them intelligently to rules engines or subject matter experts. Resubmit corrected claims directly into payer systems for faster adjudication and recovery.

Accelerate Intake with Intelligent Mailroom, Case Assignment, and Enrichment

Simplify correspondence management with AI-driven document management and processing. Assign cases automatically based on expertise and priority, while handling claim rejections. Populate claims and authorization details from core systems to minimize manual effort and enhance accuracy.

Minimize Errors with Duplicate Check, Case Collaborations, and Redirects

Prevent redundancy by detecting duplicates instantly. Collaborate across teams, redirect cases effortlessly, and maintain a single, unified view for complex claim investigations.

Gain Control with Detailed Reporting and Analytics

Identify bottlenecks by generating detailed productivity and compliance reports. Track every claim with a comprehensive dashboard, offering periodic updates. Leverage AI-powered insights from past decisions to deliver consistent outcomes.

optimized-process

Streamline Claims Recovery with End-to-end Automation

Capture pended/dropout claims automatically from your adjudication engine. Categorize errors by denial reason, batch similar claims for efficient bulk resolution, and route them intelligently to rules engines or subject matter experts. Resubmit corrected claims directly into payer systems for faster adjudication and recovery.

Key Benefits

  • Recover Dropout Claims – Cut backlog and plug revenue leakage
  • End-to-end Automation – Human review only when required
  • Smart Work Distribution – Route to the right expert with full oversight
  • Faster Turnaround – Fix and resubmit in hours, not days
  • Higher First Pass Rates – AI identifies and corrects recurring issues in bulk
  • Minimal Admin Load – Free up Subject Matter Experts (SMEs) for complex cases, reduce headcount needs
  • Fully Compliant – Every correction logged, tracked, and auditable
claims automation software
Explore Other Solutions for the Payer-Provider Journey

Member and Provider Service Inquiries

Ensure smooth processing of inquiries while enhancing member and provider experience

Provider Dispute Resolution

Enhance your payer-provider interactions by optimizing claim disputes and inquiries

Member & Provider Appeals

Simplify the complete process while staying compliant, enhancing efficiency, and improving stakeholder collaboration

Grievances & Complaints

Manage grievances and complaints that comply with federal regulations and accreditation standards
higher-compliance

External Review

Optimize external reviews while ensuring transparency and maximizing operational excellence across the process

Member & Provider Service Portal

Empower members with instant access to information, enhancing convenience and engagement

Find Your Winning Strategy with Newgen

Schedule a Demo to See Newgen’s Claims Repair Solution in Action.

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Got Questions?

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