Complex Claims Suite

Optimize claims revenue

Getting paid for care shouldn’t stall when claims get complex. We deliver results others can’t, capturing revenue you need to protect your margins.

Intelligent tech for the toughest claims

EnableComp's e360 RCM® platform is fueled by the industry’s largest complex claims dataset; we’ve processed over 60 million claims to date. The AI-enhanced platform features built-in reimbursement modeling, seamless EHR integrations and delivers robust analytics. Adaptive learning ensures e360 gets even smarter with every claim processed.

By pairing powerful data with intelligent tech and deep expertise in complexity, we surface and collect hidden revenue for hospitals.

Complex Claims Suite

Veterans Affairs

EnableComp works with all military payers, using the e360 platform to automate Veterans Affairs claims, reduce denials and speed reimbursements for hospitals and physicians.

  • Streamline VA billing
  • Determine eligibility accurately
  • Reduce authorization denials
  • Coordinate benefits accurately
  • Resolve claims faster

Workers' Compensation

EnableComp manages the full Workers’ Comp claim process for you, covering all 50 states and every jurisdiction’s fee schedules, billing rules, and appeal requirements.

  • Achieve cleaner claims
  • Speed claim payment
  • Recover revenue at risk
  • Minimize denials
  • Automate reliable compliance

Motor Vehicle Accidents

EnableComp provides full-service MVA and Third-Party Liability (TPL) claims management, handling discovery, lien filing, recovery, and attorney coordination.

  • Speed reimbursement
  • Streamline claims process
  • Oversee attorney coordination
  • Navigate multiple payers
  • Maximize recovery via lien

Out-of-State Medicaid

Medicaid billing gets complicated when patients cross state lines. With expertise in all 50 states, EnableComp manages claims, so hospitals recover the revenue they’re due.

  • Recover previously denied or unsubmitted claims
  • Reduce administrative burden
  • Improve cash flow
  • Shorten payment cycles
  • Enhance compliance

Complex Revenue Intelligence ™: The ultimate advantage in complex claims

Complex Revenue Intelligence™ is the engine behind our Complex Claims Suite. CRI combines the foresight of our AI-driven e360 RCM platform with decades of experience resolving the toughest claims.

This powerful mix of technology and human expertise allows us to identify hidden revenue, adapt quickly to payer and policy changes, and rescue dollars others leave behind. With CRI at the core, complexity becomes clarity, and healthcare providers gain the financial resilience to keep patient care moving forward.

Our clients say it best

"Having this partnership [with Enablecomp] in place and those early returns has really allowed us to redirect our efforts and figure out where we can make strategic investments as a result of those [financial] successes."
Sarah Ginnetti, UConn Health, AVP, Revenue Cycle
"As a leader in specialty claims, our partnership with EnableComp continues to be a valuable asset to Northwestern Medicine."
John A. Orsini, Northwestern Medicine, EVP and CFO
"Choosing EnableComp was an easy decision for our hospital. They have maximized our workers' comp claim revenue and have allowed us to reallocate trained team members to other areas of our RCM department."
Judy Briggs, Regional One Health, Vice President, Revenue Cycle
"Their expertise and in-depth knowledge of Medicaid regulations across all states ensure accurate and timely billing and payment of our claims, resulting in improved cash flow to the institution. As a result of their reasonable and competitive fees, the increased cash flow is realized at a cost which is lower than if our in-house staff handled the claims."
Juan Seijido, Memorial Sloan-Kettering Cancer Center, Director, Patient Accounts

Connect with us to unlock hidden revenue

Learn how our e360 RCM® platform, decades of data-driven insight and specialized expertise help hospitals recover more revenue, faster.