Digital. Dynamic. Dependable.
Automating Claims Repair and Reduce Denial Rates with AI for Faster, Smarter, and Accurate Resolutions
Identify and correct claims errors before adjudication automatically. Reduce denial rates and accelerate clean claim submissions with error detection, automated correction rules, and governed exception handling.
“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.
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.
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
Explore Other Solutions for the Payer-Provider Journey
Find Your Winning Strategy with Newgen
Schedule a Demo to See Newgen’s Claims Repair Solution in Action.
Schedule DemoOrchestrate for an Intelligent Enterprise, Now!
Explore all the ways you can tap into orchestration to transform your business for the era of intelligence!
