Olive Works claim status checks and denials actioning

Learn how Olive's AI solution works claim status checks and denials actioning with an automated transformative solution.

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A smarter path to reimbursement

More and more health systems are recognizing the value of automated claims processing and are incorporating AI into their claim management strategy – is your health system ready for the future of working claims? Olive’s here to help.

Claims process graphic

The problem with claims processing

Complex payer workflows and ever-changing requirements lead to providers taking extensive manual actions to collect on outstanding claims, inflating AR for your health system.

  • Approximately 10% of claims are denied1 – more than 25% of those are for simple reasons like missing data or documentation2
  • 3.5% of claims are denied due to untimely filing2
  • 48% of rejections and denials go unappealed or unworked3
  • It takes ~14 minutes for a human to check one claim status inquiry4
Claim status approach graphic

Streamline your approach with Olive

Olive checks claim statuses early, frequently and more thoroughly – accelerating cash flow, increasing successful appeal efforts, and positively impacting net revenue:

  • Olive retrieves the reasons for the rejection or denial (e.g. name misspelling, National Provider Identifier not found)
  • If the reason is complex: Olive relays the account to a human along with detailed information
  • Olive returns payment information prior to payment posting in your EHR system
  • Olive identifies opportunities to submit corrected claims and appeals

See Olive’s impact

See how Olive Works claim statuses & denials actioning at a nationally recognized hospital system with 12 hospitals & 2000+ beds.

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  1. Becker’s Hospital Review - “Denial rework costs providers roughly $118 per-claim: 4 takeaways”
  2. Change Healthcare Healthy Hospital Revenue Cycle Index
  3. HIMSS - “How to Improve Your Clean Claims Rates”
  4. 2018 CAQH Index