Orlando Health DenialsIQ was "developed by GE Healthcare, uses advanced analytics to help health systems find claims that were initially denied by insurance companies" making health insurance payment dispute claims less time-consuming.
"DenialsIQ, which officially launched in July, identifies a common pattern in denials, and isolates where the problem is and its root cause. Once a company learns the pattern in their denied claims, they can then rework them in order to get paid. They can also spot and fix problems internally to avoid a repeat."
DenialsIQ "was built on Predix, GE’s cloud-based platform for collaborating on projects involving big data, and shaped using FastWorks — GE’s approach to building lean start-ups and prototypes, using the agile method of iterative “sprints” of work among collaborating teams... [and a] patent-pending statistical algorithm that analyzes denials."
Healthcare claims datasets from various institutions
The vendor claims that DenialsIQ "could surface patterns in up to 80 percent of the total denied claims, and roughly one in every three of those denials are in patterns that had money that could be recovered or an action that could be taken to avoid similar denials in the future."