testpage

Healthcare insurance coverage is a necessity in the U.S. but it’s a complex system to navigate for both providers and patients. At Experian Health, we aim to simplify the administrative and operational sides of healthcare so improving the registration and insurance identification process for providers within the patient access workflow is an important problem we want to help solve. With a myriad of insurers, plans and benefits coverage, along with complexities like multiple levels of coverage some individuals may have, providers have a tough task trying to coalesce all the right information when a patient registers for care in real time – so the searching and querying is often pushed out beyond the registration desk, creating manual rework, denied claims and delays in reimbursements. This downstream impact has been a huge pain point with claims denials contributing to hospitals and medical practices losing more than $200 billion dollars in lost revenue per year. A rejection not only impacts the provider but the patient too. If inaccurate information is submitted to a payer and the claim gets denied, providers don’t get reimbursed and patients could receive bills that they may not be able to pay. We believe technology is the answer to solve many administrative challenges, which led us to acquire Wave HDC, a healthcare company that can deliver a real-time response. Identifying insurance coverage and benefits is a piece to the overall claims puzzle and this workflow has been ripe for improvement with better software. We believe we can now deliver the best solution in the market with this integration. What is Wave HDC’s expertise? Their AI-powered healthcare data curation solutions utilize an “if-then” logic, returning multiple data points required for accurate patient billing from a single inquiry, in real-time (30-45 second processing time), during the registration process. This innovation is a major step forward. No longer is a single response efficient as it pertains to uncovering a patient’s eligibility, coordination of benefits, insurance coverage and beyond. Our acquisition of Wave HHDC transforms the outdated clearinghouse model and will deliver immense benefits to our healthcare providers in the form of more accurate claim submissions and higher reimbursement rates, while also reducing manual work on their administrative teams. In fact, Wave HDC has prevented denials for its clients of over $1 billion dollars since 2020. Reducing claims denials will have a major impact on providers as the industry faces many headwinds including inflation, complex regulations, and constantly changing payer rules that may hurt their financial stability. The issue is only getting worse; a 2022 Experian Health survey revealed that 42 percent of respondents see claims denials increasing and that uptick is between 10-15 percent according to a third of respondents. Additionally, 3 out of 4 survey respondents say reducing denials is the highest priority. We are very excited to tackle this pain point with an advanced solution and welcome the Wave HDC team and these additional capabilities to Experian Health. For more information about Experian Health, visit experian.com/health.

Early in my career, I gained a lot of knowledge about credit. But when I moved to the United States from Brazil, establishing credit was a challenge. I worked part-time in a credit card company call center during college. I come from a humble family, and through helping customers, I learned the ins and outs about credit and money management. But all the solid credit history I built up in my home country didn’t transfer to the U.S. When I immigrated, I had to pay upfront for everything from utilities to a cellphone and it made me feel at a disadvantage. Thanks to Experian Boost®i, our feature that allows you to build credit without debt, and responsible management of debt, my FICO® Scoreii quickly rose to reflect my true creditworthiness. But I’ll never forget how it felt to be invisible when it came to the credit system. Being seen is the first step to equitable access to financial tools. Now that Experian conveniently offers Experian credit reports in Spanish onlineiii, consumers who prefer to access information in Spanish will be able to directly comprehend their credit profile so they can feel empowered. Understanding your credit report is a critical component for your ability to make informed decisions about your finances. As the executive sponsor of our Juntos Employee Resource Group (ERG) and someone who was new to credit in the U.S., I know first-hand that being seen is the first step in a journey towards financial wellness. To help you be informed, Experian also has a Spanish-language credit e-book and articles at the Ask Experian blog. Learn more about my financial health journey and my colleague's through #ExperianStories. i Results will vary. Not all payments are boost-eligible. Some users may not receive an improved score or approval odds. Not all lenders use Experian credit files, and not all lenders use scores impacted by Experian Boost®. Learn more. ii Credit score calculated based on FICO® Score 8 model. Your lender or insurer may use a different FICO® Score than FICO® Score 8, or another type of credit score altogether. Learn more. iii Only Experian credit reports are available in Spanish. All other services associated with an Experian membership are available in English only. English fluency is required for full access to Experian’s products. 

Ball pits, a video game and a neon-pink house might not be what typically comes to mind when you think of our mission of financial inclusion. But that’s some of the ways Experian spent its summer sharing resources and information to empower underserved communities. FINANCIAL INCLUSION AND INNOVATION   The mild weather ushered-in summer early in the City of Brotherly Love, where we joined the Allen Iverson Roundball Classic to launch B.A.L.L. (Be A Legacy Leader) for Life.  It was our second year as the exclusive financial literacy partner. In partnership with the National Urban League, we introduced this program to the athletes and their families participating in the all-star weekend. We also created a gamified app that enables users to shoot hoops using gesture controls as they learn about credit and financial tools. Experian’s partnership with UnidosUS includes support for its Financial Empowerment Network (FEN), a program, which offers free, individualized, culturally-relevant support to Latino families. Our colleagues shared credit education resources and their journeys to financial health at the national conference. We are… financially fierce! As a proud sustaining Titanium partner of Out & Equal, we brought The House of Experian to this year’s Workplace Summit. Hundreds visited the eye-catching attraction to learn about financial and credit tools. We also led engaging conversations about money matters for the trans community and dove deep into the financial wellness of LGBTQ+ consumers and entrepreneurs. To learn more about the gaps and needs of the community, we’ve launched a financial wellness survey in partnership with Out & Equal. COMMUNITY ADVOCACY The mental health and wellness of our teammates is a priority for Experian, and it was a big topic of panel discussions at the Disability:IN Annual Conference. Empowering Asian American and Pacific Islander (AAPI) professionals is the focus of the annual Ascend Leadership Convention. This year’s theme was “I Ascend,” encouraging participants to share how they navigate and succeed in their careers. At Essence Fest’s National Urban League Women’s Empowerment Luncheon, Victoria Crain, Experian’s vice president of global compliance and governance and co-executive sponsor of our Black Professionals Employee Resource Group, shared keynote remarks about courage and legacy. EMPOWERING THE NEXT GENERATION   Building paths towards generational wealth took center stage at the National Urban League Annual Conference. We led a conversation with multigenerational influencers and financial experts on money matters from personal and entrepreneurial lenses, and brought the B.A.L.L. for Life experience to the community. Our support for entrepreneurship extends to the Women of Color and Capital, where we were a returning sponsor and joined a discussion about financial solutions for small business owners. HomeFree-USA closed out our summer by honoring Experian with the 2023 Trailblazer Award and the 2023 CFA Partner of the Year Award. Our innovative program, launched in 2022 in partnership with the Center for Advancement (CFA), trained 250 scholars from Historically Black Colleges and Universities to become knowledge ambassadors about credit, and share what they’ve learned in the program with peers and family. Through events like these, we aim to normalize conversations about credit and make it easier for consumers to access the tools they need for their financial wellness. We are already looking forward to Summer 2024. To learn more about how Experian supports diverse communities, check out www.experian.com/deievents.