The AI-powered solution reduced coordination of benefits denials by 40%, eligibility denials by 35% and registration-related denials by 20% over three years

Key Highlights:

• Study shows that Patient Access Curator helped prevent downstream billing issues by identifying and correcting coverage and payer information at intake.
• AI-powered coverage intelligence improved claim accuracy through automated coverage identification and payer determination.
• Streamlined patient access workflows reduced administrative burden and supported a better patient financial experience.

Experian Health's Patient Access Curator™, an AI-powered solution designed to help healthcare organizations prevent denials and get claims right from the start, protected $50.4 million in revenue over three years for a modeled composite health system, according to a Forrester Consulting Total Economic Impact™ of Experian Health Patient Access Curator study. Based on insights from five Patient Access Curator clients, the Experian Health-commissioned study found the platform reduced coordination of benefits (COB), eligibility and registration claim denials.

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Experian Health's Patient Access Curator™, an AI-powered solution designed to help healthcare organizations prevent denials and get claims right from the start, protected $50.4 million in revenue over three years for a modeled composite health system, according to a Forrester Consulting Total Economic Impact™ of Experian Health Patient Access Curator study.

Hospitals spend approximately $18 billion annually attempting to overturn denied claims¹. The study provides healthcare organizations with a framework to evaluate the potential financial and operational impact of Patient Access Curator on their own organizations. The findings reflect a growing shift among health systems toward preventing denials at registration rather than relying on costly post-claim recovery efforts.

“Healthcare leaders are increasingly recognizing that the greatest opportunity in revenue cycle management is not recovering revenue after the fact, but preventing losses before they occur,” said Mindy Fortson, Chief Operating Officer at Experian Health. “The Forrester study findings demonstrate how earlier coverage intelligence can help health systems protect millions of dollars in revenue, reduce administrative burden and unlock resources that can be reinvested in other priorities.”

Reducing denials accelerates the revenue cycle

Using AI-powered decisioning, Patient Access Curator is designed to automate and streamline decisions made during patient intake, where many downstream revenue cycle issues begin. It automatically validates and curates patient demographics, insurance coverage, coordination of benefits, Medicare Beneficiary Identifier information and related payer data to improve the accuracy of patient and insurance information before claims are created.

By Year 3, other results include an 80% reduction in time spent on insurance discovery activities.

To illustrate the potential impact, consider a 25-person team in which each employee previously devoted 25% of their time to insurance discovery. An 80% reduction could free approximately 10,400 hours annually, or the capacity of five full-time employees. Over three years, that represents approximately $887,000 in workforce capacity that could be redirected to more complex activities, such as resolving high-value claims, preventing denials and improving patient financial experiences.

Additionally, the study found a 45% reduction in outsourced claims and denial management costs by Year 3.

For a health system spending $5 million annually on outsourced services, that could equate to approximately $2.25 million in savings. Meanwhile, automated eligibility and coverage verification drove a 10% productivity lift among front-end staff by Year 3, helping teams work more efficiently while reducing the risk of errors that can create downstream rework.

These savings represent real resources that healthcare organizations can redirect toward patient care and other critical priorities. The model translated these operational and financial improvements into $11.5 million in risk-adjusted, present-value benefits over three years², which is equivalent to:

• Approximately one year of wages for 115 registered nurses
• About 115,000 primary-care visits
• Seven new MRI systems
• Approximately 38 fully equipped ambulances

The study also identified $82.2 million in accelerated cash collection, and unquantified benefits including improved employee and patient satisfaction, better collaboration between front- and back-end teams and reduced human error in coverage selection and registration. The study was conducted in August 2026.

To learn more and access the full study, go here.

Methodology

Forrester interviewed five decision-makers at healthcare organizations using Patient Access Curator. For the purposes of the study, Forrester aggregated the interviewees’ experiences and combined the results into a composite U.S.-based integrated health system with $5 billion in annual revenue, 20,000 employees and approximately 700,000 patients served annually.

About Experian Health

At Experian Health, we serve more than 60 percent of U.S. hospitals and more than 5,800 medical practices, labs, pharmacies and other healthcare providers to simplify healthcare with data-driven platforms and insights that help our clients make smarter business decisions, deliver a better bottom line and establish strong patient relationships.

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We invest in talented people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 25,200 people across 33 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.

For more information about Experian Health, visit http://www.experianhealth.com. Learn more about Experian at www.experianplc.com.

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