Survey Finds Claim Denials Rising as AI Awareness Surges but Adoption Stalls

Overview

• Experian Health’s 2025 State of Claims survey reports 41% of providers now see denial rates at 10% or higher, with 54% noting more claim errors and 68% finding clean claims harder to submit.
• Staffing shortages persist for 43% of organizations, and 90% of denied claims still require human review before resubmission.
• Top denial drivers remain missing or inaccurate data (50%), prior authorizations (35%), and incomplete or incorrect patient registration data (32%).
• Although 67% believe AI can improve claims processing, only 14% use it, even as 69% of current users report reduced denials or better resubmission success and 62% now feel well-versed in AI versus 28% in 2024.
• Technology overhauls are accelerating, with 41% having upgraded or replaced claims tools in the past year, 59% planning new investments within six months, just 56% deeming current systems sufficient, and 81% using multiple check-in systems.