Claim Intelligence by Janus Health is an AI-powered automation solution that delivers real-time, line-level claim status data directly into your EHR. It enables healthcare teams to focus only on claims that require attention, reducing manual workload and improving operational efficiency. The platform integrates seamlessly with existing workflows and is designed to accelerate appeals and reimbursements at a lower cost. Claim Intelligence automates the login and navigation of payer portals, retrieves claim statuses, and routes them intelligently to the appropriate teams. It supports scalable automation, provides deeper insights into denials, and maintains a defensible audit trail—all while increasing staff capacity and reducing cost-to-collect.

Features

• Real-Time Claim Statusing: Automatically retrieves and delivers line-level claim status data into your EHR.
• Intelligent Auto-Routing: Routes claims to the right teams based on status and urgency.
• Payer Portal Automation: Automates login and navigation across payer portals.
• Scalable Infrastructure: Status claims as frequently as needed with proactively monitored automations.
• Denial Insights: Provides rich detail on the “what” and “why” behind claim denials.
• Seamless EHR Integration: Maintains existing workflows and ensures audit trail compliance.
• Proven Performance:
  • 0% reduction in manual claim statusing
  • Millions of claims statused annually
  • Significant daily capacity gains

Benefits

• Increase Staff Efficiency: Focus only on claims needing intervention, freeing up time and resources.
• Accelerate Cash Flow: Faster claim statusing leads to quicker reimbursements.
• Reduce Cost-to-Collect: Automation lowers operational costs and improves financial performance.
• Improve Denial Management: Gain deeper insights into denial reasons to prevent future issues.
• Maintain Compliance: Seamless integration ensures defensible documentation and audit readiness.
• Scalable & Reliable: Built to handle high volumes with stable, monitored automation.