The 2025 Experian Health State of Claims report was based on a quantitative survey of 250 healthcare professionals responsible for financial, billing or claims management decisions. Questions were intended to determine: 

• The current state of claims management within provider operations 
• Reasons for the current state
• Actions being taken [by providers] to address the challenges that exist within the claims management function 

Highlights from the report include:

• Increasing Denial Rates: 41% of providers say they experience a 10% or higher denial rate 
• Primary Denial Triggers: The top denial triggers include missing or inaccurate claim data, incomplete or incorrect patient registration data, and code inaccuracy
• Staffing Challenges: 43% of respondents say they are understaffed
• Role of AI in Claims Management: Many believe AI can improve the claims process, and, while few have put it to use, some are seeing promising results