VOL. 4, ISSUE 3 | JUNE 2025
Unlocking Faster Payments with XiFin® Empower RCM’s Embedded AI for A-321 Claim Status Codes Continued from page 6 Early Results Driving Real Impact
One early adopter—a large, national diagnostic provider—saw remarkable gains within just eight weeks: ■ Thousands of claims automatically re-coded from generic “A-321” to specific issue categories, reducing manual workload dramatically. ■ Over eight weeks, claims processed with AI-driven status updates achieved 45% paid within the period, compared to only 26% under the traditional manual process—a 73% improvement . ■ This accelerated payment speed translates directly to improved cash flow and reduced days in accounts receivable. Why This Matters for Your Revenue Cycle By automating the interpretation of vague status codes and streamlining workflows, XiFin Empower RCM’s embedded AI helps your team: ■ Cut down manual claim reviews and reduce denials faster ■ Prioritize high-impact corrective actions with confidence ■ Gain transparency into payor behaviors and denial patterns ■ Improve reimbursement speed and overall financial performance
After implementing a ML approach to claim status actions with Empower RCM, we see a consistent increase in the velocity of paid claims in the first 8 weeks after a claim status is received.
Our AI model is continuously refined using real-world claim data and feedback, ensuring it adapts to evolving payor messaging nuances and maintains high accuracy. For more information, contact your Customer Success Manager (CSM) team, or if your organization is an outsourced billing services customer, contact your Customer Account Manager (CAM).
Discover how embedded AI in XiFin Empower RCM is turning vague payor responses into clear next steps for faster, more efficient reimbursement. To enable this capability, please submit a case, and our EDI team will typically have your team enabled within 48 hours.
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