TTEC launches AI-powered healthcare claims solution to reduce denials

TTEC Holdings Inc. (NASDAQ: TTEC) announced the launch of TTEC VeriCycle, an AI-powered solution designed to help healthcare organizations identify and resolve claims issues before submission to reduce denials and accelerate reimbursement.

The solution targets both healthcare payers and providers, combining AI-powered automation, workflow intelligence, healthcare analytics, and operational expertise to identify eligibility mismatches, prior authorization gaps, coding discrepancies, and documentation issues before claims are submitted.

"Denial management and rework associated with claims and reimbursement issues can pose significant revenue and cost challenges for payers and providers," said Partha Deka, senior vice president of TTEC's healthcare portfolio.

TTEC VeriCycle supports healthcare revenue cycle management functions including eligibility verification, prior authorization support, medical coding assistance, claims validation, denial prevention, accounts receivable posting, and revenue cycle analytics.

The solution pairs AI-powered claims management capabilities with healthcare specialists who investigate exceptions and resolve issues. Real-time contact center dashboards provide visibility into denial trends, accounts receivable performance, and reimbursement outcomes.

Unlike traditional revenue cycle solutions that manage denials after claims are rejected, TTEC VeriCycle takes a proactive approach to identify and resolve claims issues before submission to clearing houses and payer adjudication systems.

"Catching claim issues before they are submitted—and validating them against payer policies and provider contracts in real time—can significantly reduce the administrative burden on the system," said Paddu Srinivasan, vice president and client-success partner at TTEC.

TTEC is a global consulting, technology, and managed services company that delivers solutions combining data, AI, and customer experience services.

You May Also Be Interested In

• Alphabet added to Dow Jones Industrial Average, Verizon dropped
• Cboe launches binary options suite tied to Mini-S&P 500 Index
• Clear Secure amends credit agreement, extends maturity to 2031