Experian Health

Experian Health is the healthcare division of Experian, built largely on its 2013 acquisition of Passport Health Communications (founded 1996) and later deals including Wave HDC in 2023. Its products cover the front and middle of the revenue cycle: real-time eligibility checks against 900+ payers, Coverage Discovery for finding insurance patients did not report, patient estimates, identity verification, and claims, remittance, and denials management. Buyers are hospitals, health systems, medical groups, labs, and billing companies, usually starting with patient access products.

Its distinctive asset is data. Coverage Discovery identified more than $60B in billable coverage across 45 million patient cases in 2024, and the Wave HDC acquisition produced Patient Access Curator, which runs eligibility, coordination of benefits, and coverage checks in a single inquiry at registration; Columbus Regional Health reported a 41% drop in eligibility denials with it. Experian Health is a steady, well-capitalized choice for patient access and coverage work, though its suite is modular and priced per product, and some organizations still route claims through a separate clearinghouse.